Organization Active NPI

Luiz Toledo MD PA

  • Surgery of the Hand (Surgery) Physician
  • Fort Worth, TX
National Provider Identifier
1124324447
Registry record updated Nov 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery of the Hand (Surgery) PhysicianTaxonomy code 2086S0105X
License
G8763 Issued in TX
Legal business name
LUIZ TOLEDO MD PA
Practice address
4255 Bryant Irvin Rd
Suite 105
Ft Worth, TX 76109-4233
Phone
(817) 377-0050
Fax
(817) 377-0054
NPI assigned
Feb 3, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Luiz Toledo, MD
Title
Physician/Owner
Phone
(817) 377-0050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery of the Hand (Surgery) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0105X G8763 TX Primary

Addresses

Primary practice location

4255 Bryant Irvin Rd
Suite 105
Ft Worth, TX 76109-4233

Mailing address

4255 Bryant Irvin Rd
Suite 105
Ft Worth, TX 76109-4233
Phone (817) 377-0050

National Provider Directory

National Provider Directory

Locations

4255 Bryant Irvin Rd
Ste 105
Ft Worth, TX 76109
Phone (817) 377-0050

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1296691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322006400000",
    "number": "1124324447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4255 BRYANT IRVIN RD",
            "address_2": "SUITE 105",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761094233",
            "telephone_number": "817-377-0050",
            "fax_number": "817-377-0054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4255 BRYANT IRVIN RD",
            "address_2": "SUITE 105",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761094233",
            "telephone_number": "817-377-0050",
            "fax_number": "817-377-0054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUIZ TOLEDO MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-03",
        "last_updated": "2011-11-23",
        "status": "A",
        "authorized_official_last_name": "TOLEDO",
        "authorized_official_first_name": "LUIZ",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "817-377-0050",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0105X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Surgery of the Hand",
            "state": "TX",
            "license": "G8763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.