Provider Demographics
NPI:1639121866
Name:ANNA-MARIA TOKER, M.D., PA
Entity Type:Organization
Organization Name:ANNA-MARIA TOKER, M.D., PA
Other - Org Name:ANN TOKER, MD, PA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:MARIA
Authorized Official - Last Name:TOKER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-942-3740
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-16
Last Update Date:2020-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
00678ZMedicare ID - Type Unspecified