MEDICARE: MR. JAVIER TOSKY LMSW

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	101YM0800X	Mental Health Counselor	33151	TX

General Provider Information

NPI Number	:	1982853115
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JAVIER TOSKY LMSW

Provider Business Mailing Address
First Line	:	4217 LOMA DORADA LN
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79934-3767
Country	:	US
Telephone Number	:	915-822-2472
Fax Number	:

Provider Business Practice Location Address
First Line	:	4217 LOMA DORADA LN
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79934-3767
Country	:	US
Telephone Number	:	915-822-2472
Fax Number	:

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

Provider Enumeration Date	:	09/11/2008
Last Update Date	:	09/11/2008

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