Provider Demographics
NPI:1669721973
Name:TOBIAS, STEVE WILLIS (PA-C)
Entity type:Individual
Prefix:MR
First Name:STEVE
Middle Name:WILLIS
Last Name:TOBIAS
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:700 N PEARL ST STE N510
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75201-2863
Mailing Address - Country:US
Mailing Address - Phone:214-580-7277
Mailing Address - Fax:214-999-9363
Practice Address - Street 1:2701 S HAMPTON RD STE 101
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75224-2363
Practice Address - Country:US
Practice Address - Phone:214-330-9221
Practice Address - Fax:214-999-9363
Is Sole Proprietor?:No
Enumeration Date:2012-08-31
Last Update Date:2023-07-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXPA02271363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical