Provider Demographics
NPI:1225008642
Name:TOLER, CHRIS R (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRIS
Middle Name:R
Last Name:TOLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1038 MAYNOR AVE
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37216-3024
Mailing Address - Country:US
Mailing Address - Phone:270-313-5432
Mailing Address - Fax:
Practice Address - Street 1:7900 FANNIN ST STE 4000
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-2935
Practice Address - Country:US
Practice Address - Phone:270-688-6590
Practice Address - Fax:270-688-6593
Is Sole Proprietor?:No
Enumeration Date:2006-01-26
Last Update Date:2023-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY40106207V00000X
TXU6902207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY000000714096OtherANTHEM - WS
KY50033300OtherPASSPORT - WS
KY4137515OtherCIGNA - WS
IN200804930Medicaid
KY64114945Medicaid
KY125847OtherSIHO - WS
KY000051720DOtherHUMANA - WS
INM400072478Medicare PIN
IN200804930Medicaid
KY50033300OtherPASSPORT - WS