Cynthia R Tolbert MD PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

K4273 Issued in TX

Legal business name

CYNTHIA R TOLBERT MD PLLC

Practice address

518 N Main St
Boerne, TX 78006-1620

Phone

(830) 249-5400

Fax

(830) 249-3778

NPI assigned

Jan 24, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Cynthia R Tolbert, M.D.

Title

President

Phone

(830) 249-5400

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1264291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264291200000",
    "number": "1679804140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 792",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780060792",
            "telephone_number": "830-249-5400",
            "fax_number": "830-249-3778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 N MAIN ST",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780061620",
            "telephone_number": "830-249-5400",
            "fax_number": "830-249-3778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYNTHIA R TOLBERT MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-24",
        "last_updated": "2010-01-24",
        "status": "A",
        "authorized_official_last_name": "TOLBERT",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "830-249-5400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "K4273",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0924458-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Clinic/Center in Boerne, TX
• Providers in Boerne, TX by specialty
• Primary Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2010; 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.