Provider Demographics
NPI:1790799476
Name:TOBY, JOSHUA D (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:D
Last Name:TOBY
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 130459
Mailing Address - Street 2:
Mailing Address - City:TYLER
Mailing Address - State:TX
Mailing Address - Zip Code:75713-0459
Mailing Address - Country:US
Mailing Address - Phone:903-531-2500
Mailing Address - Fax:903-595-3785
Practice Address - Street 1:1814 ROSELAND BLVD 200
Practice Address - Street 2:
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75701-4262
Practice Address - Country:US
Practice Address - Phone:903-592-6000
Practice Address - Fax:903-363-1540
Is Sole Proprietor?:No
Enumeration Date:2006-07-28
Last Update Date:2015-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL9517207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX166164702Medicaid
TX8V5222OtherBCBS OF TEXAS
TX9470616OtherPID FOR TC
TX752616977042OtherTRICARE
TX166164702Medicaid
TX8J4169Medicare Oscar/Certification
TX752616977042OtherTRICARE