Basic Information
Provider Information
NPI: 1568780781
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: TOBY
FirstName: CAROLINE
MiddleName: A
NamePrefix:  
NameSuffix:  
Credential: CNM
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 201088
Address2:  
City: HOUSTON
State: TX
PostalCode: 772161088
CountryCode: US
TelephoneNumber: 7135003500
FaxNumber: 7135008630
Practice Location
Address1: 6410 FANNIN ST
Address2: 200
City: HOUSTON
State: TX
PostalCode: 770303000
CountryCode: US
TelephoneNumber: 8323257131
FaxNumber: 7135122217
Other Information
ProviderEnumerationDate: 05/12/2010
LastUpdateDate: 05/12/2010
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
367A00000X718698TXY Physician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife 

No ID Information.


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