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NPI Code Detail

MEDICARE: BRIAN TOBIAS D.O.

MEDICARE: BRIAN TOBIAS 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
1207XS0106XOrthopaedic Hand Surgery PhysicianJ7232TX
2207X00000XOrthopaedic Surgery PhysicianJ7232TX

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
4P00431991OTHERTXRAILROAD MEDICARE PIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
184039XOTHERTXBCBS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1720022692
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIAN TOBIAS D.O.
Provider Business Mailing Address
First Line : PO BOX 961205
Second Line :
City : FORT WORTH
State : TX
Zip : 76161-1205
Country : US
Telephone Number : 817-740-8400
Fax Number : 817-378-3699
Provider Business Practice Location Address
First Line : 5612 EDWARDS RANCH RD
Second Line :
City : FORT WORTH
State : TX
Zip : 76109-4145
Country : US
Telephone Number : 817-420-9238
Fax Number : 817-357-4363
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2006
Last Update Date : 12/18/2020

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Directions to “ BRIAN TOBIAS D.O.” Practice Location

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