Provider Demographics
NPI:1811987670
Name:TOBES, MICHAEL C (MD)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:C
Last Name:TOBES
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 846098
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75284-6098
Mailing Address - Country:US
Mailing Address - Phone:903-606-6400
Mailing Address - Fax:903-606-1522
Practice Address - Street 1:1212 S PALESTINE ST
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:TX
Practice Address - Zip Code:75751-3619
Practice Address - Country:US
Practice Address - Phone:903-675-6800
Practice Address - Fax:903-670-1134
Is Sole Proprietor?:No
Enumeration Date:2005-10-24
Last Update Date:2023-02-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXK2607207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX060041089OtherRAILROAD MEDICARE
LA1634441Medicaid
TX042171102OtherSMITH COUNTY INDIGENT
TX8F7570OtherBCBS OF TEXAS
TX042171102OtherHENDERSON COUNTY INDIGENT
TX042171102Medicaid
LA1634441Medicaid
TX042171102OtherSMITH COUNTY INDIGENT