MEDICARE: MR. STEVE WILLIS TOBIAS PA-C

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	363AM0700X	Medical Physician Assistant	PA02271	TX

General Provider Information

NPI Number	:	1669721973
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. STEVE WILLIS TOBIAS PA-C

Provider Business Mailing Address
First Line	:	700 N PEARL ST STE N510
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75201-2863
Country	:	US
Telephone Number	:	214-580-7277
Fax Number	:	214-999-9363

Provider Business Practice Location Address
First Line	:	2701 S HAMPTON RD STE 101
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75224-2363
Country	:	US
Telephone Number	:	214-330-9221
Fax Number	:	214-999-9363

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

Provider Enumeration Date	:	08/31/2012
Last Update Date	:	07/10/2023

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