Provider Demographics
NPI:1750402962
Name:TOBIN, HOWARD A (MD)
Entity type:Individual
Prefix:
First Name:HOWARD
Middle Name:A
Last Name:TOBIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:6300 REGIONAL PLAZA
Mailing Address - Street 2:SUITE 475
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79606
Mailing Address - Country:US
Mailing Address - Phone:325-695-3630
Mailing Address - Fax:325-695-3633
Practice Address - Street 1:6300 REGIONAL PLAZA
Practice Address - Street 2:SUITE 475
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79606
Practice Address - Country:US
Practice Address - Phone:325-695-3630
Practice Address - Fax:325-695-3633
Is Sole Proprietor?:No
Enumeration Date:2007-04-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXD1835208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXD1835OtherTX STATE BD OF MED EXAM
TXD1835OtherTX STATE BD OF MED EXAM