Provider Demographics
NPI:1225013097
Name:TOBEY, MARTIN (MD)
Entity Type:Individual
Prefix:
First Name:MARTIN
Middle Name:
Last Name:TOBEY
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 1:6824 JOYCE WAY
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75225-2718
Mailing Address - Country:US
Mailing Address - Phone:469-291-7073
Mailing Address - Fax:469-291-7083
Practice Address - Street 1:6824 JOYCE WAY
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75225-2718
Practice Address - Country:US
Practice Address - Phone:469-291-7073
Practice Address - Fax:469-291-7083
Is Sole Proprietor?:No
Enumeration Date:2005-12-14
Last Update Date:2015-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXD9302207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX840805Medicare ID - Type Unspecified
TXC22696Medicare UPIN