MEDICARE: DR. HUGH E TOBIN M.D.

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	207ZB0001X	Blood Banking & Transfusion Medicine Physician	G5694	TX
2	207ZH0000X	Hematology (Pathology) Physician	G5694	TX
3	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	G5694	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	TXB115978	OTHER	TX	MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1548258833
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HUGH E TOBIN M.D.

Provider Business Mailing Address
First Line	:	PO BOX 2386
Second Line	:	BRAZOS VALLEY PATHOLOGY
City	:	ROUND ROCK
State	:	TX
Zip	:	78664
Country	:	US
Telephone Number	:	210-391-7538
Fax Number	:	512-597-2713

Provider Business Practice Location Address
First Line	:	800 E. DAWSON
Second Line	:	TRINITY MOTHER FRANCES HOSPITAL
City	:	TYLER
State	:	TX
Zip	:	75701
Country	:	US
Telephone Number	:	512-814-0298
Fax Number	:	512-597-2713

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

Provider Enumeration Date	:	10/11/2005
Last Update Date	:	10/30/2014

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Directions to “ DR. HUGH E TOBIN M.D.” Practice Location

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