Provider Demographics
NPI:1700159738
Name:NALIN H TOLIA PA
Entity Type:Organization
Organization Name:NALIN H TOLIA PA
Other - Org Name:TOLIA EYE CLINIC
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NALIN
Authorized Official - Middle Name:HARILAL
Authorized Official - Last Name:TOLIA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:432-362-2020
Mailing Address - Street 1:6005 EASTRIDGE RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:ODESSA
Mailing Address - State:TX
Mailing Address - Zip Code:79762-5019
Mailing Address - Country:US
Mailing Address - Phone:432-362-2020
Mailing Address - Fax:432-366-3363
Practice Address - Street 1:6005 EASTRIDGE RD
Practice Address - Street 2:SUITE 100
Practice Address - City:ODESSA
Practice Address - State:TX
Practice Address - Zip Code:79762-5019
Practice Address - Country:US
Practice Address - Phone:432-362-2020
Practice Address - Fax:432-366-3363
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-22
Last Update Date:2012-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE2374207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00R513Medicare PIN
TXC22709Medicare UPIN