Provider Demographics
NPI:1568636413
Name:TOUBIA, ELIE J (MD)
Entity Type:Individual
Prefix:DR
First Name:ELIE
Middle Name:J
Last Name:TOUBIA
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:PO BOX 301
Mailing Address - Street 2:
Mailing Address - City:TEXARKANA
Mailing Address - State:TX
Mailing Address - Zip Code:75504-0301
Mailing Address - Country:US
Mailing Address - Phone:903-276-2190
Mailing Address - Fax:903-792-7630
Practice Address - Street 1:1002 TEXAS BLVD STE 201
Practice Address - Street 2:
Practice Address - City:TEXARKANA
Practice Address - State:TX
Practice Address - Zip Code:75501-5133
Practice Address - Country:US
Practice Address - Phone:903-793-0122
Practice Address - Fax:903-792-7630
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-22
Last Update Date:2009-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM8390207R00000X, 207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX613924OtherMEDICARE