Provider Demographics
NPI:1245209535
Name:TOKER, ANNA MARIA (MD)
Entity Type:Individual
Prefix:DR
First Name:ANNA
Middle Name:MARIA
Last Name:TOKER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:3150 E BROAD ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:MANSFIELD
Mailing Address - State:TX
Mailing Address - Zip Code:76063
Mailing Address - Country:US
Mailing Address - Phone:214-942-3740
Mailing Address - Fax:682-341-9029
Practice Address - Street 1:3150 E. BROAD ST
Practice Address - Street 2:SUITE 100
Practice Address - City:MANSFIELD
Practice Address - State:TX
Practice Address - Zip Code:76063
Practice Address - Country:US
Practice Address - Phone:214-942-3740
Practice Address - Fax:682-341-9029
Is Sole Proprietor?:No
Enumeration Date:2006-03-17
Last Update Date:2020-05-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXK5456208C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX045022303Medicaid
TXTXB159874Medicare PIN