MEDICARE: DR. TANISHA A. TOASTON D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2081P0004X	Spinal Cord Injury Medicine Physician	M7692	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0029RR	OTHER	TX	BCBS
2	8CP032	OTHER	TX	BCBS

General Provider Information

NPI Number	:	1841400751
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TANISHA A. TOASTON D.O.

Provider Business Mailing Address
First Line	:	PO BOX 631309
Second Line	:
City	:	IRVING
State	:	TX
Zip	:	75063-0017
Country	:	US
Telephone Number	:	214-876-5506
Fax Number	:

Provider Business Practice Location Address
First Line	:	4351 CENTREWAY PL
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76018-5256
Country	:	US
Telephone Number	:	682-339-1400
Fax Number	:	682-339-1454

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/23/2007
Last Update Date	:	01/15/2025

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