Provider Demographics
NPI:1831195999
Name:CLINE, TONI ANN (PA-C)
Entity type:Individual
Prefix:
First Name:TONI
Middle Name:ANN
Last Name:CLINE
Suffix:
Gender:F
Credentials:PA-C
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 16327
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79490-6327
Mailing Address - Country:US
Mailing Address - Phone:806-795-8150
Mailing Address - Fax:806-791-6688
Practice Address - Street 1:4404 C 19TH
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79407
Practice Address - Country:US
Practice Address - Phone:806-795-8150
Practice Address - Fax:806-791-6688
Is Sole Proprietor?:No
Enumeration Date:2005-06-23
Last Update Date:2008-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA00227363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX83N348OtherBCBS
TX83N348OtherBCBS
S92042Medicare UPIN