Dr Minda Lao Toledo, MD | |
8333 9th Avenue, Suite B, Port Arthur, TX 77642 | |
(409) 729-9200 | |
(409) 729-9235 |
Full Name | Dr Minda Lao Toledo |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 8333 9th Avenue, Port Arthur, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104812791 | NPI | - | NPPES |
M2487 | Other | TX | LIC NO. |
1417006735 | Other | TX | GROUP NPI |
20-3418877 | Other | TX | TAX ID |
178296301 | Medicaid | TX | |
178296302 | Medicaid | TX | |
178297101 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | M2487 (Texas) | Primary |
207Q00000X | Family Medicine | M2487 (Texas) | Secondary |
Entity Name | Primary Care Pediatrics,pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417006735 PECOS PAC ID: 0446272819 Enrollment ID: O20060110000388 |
Mailing Address | Practice Location Address |
---|---|
Dr Minda Lao Toledo, MD 8333 9th Avenue, Suite B, Port Arthur, TX 77642 Ph: (409) 729-9200 | Dr Minda Lao Toledo, MD 8333 9th Avenue, Suite B, Port Arthur, TX 77642 Ph: (409) 729-9200 |
Nancy T. Ngo, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 8333 9th Ave, Ste C, Port Arthur, TX 77642 Phone: 409-722-3761 Fax: 409-722-2095 | |
Fe M Martin, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2001 9th Ave, Suite 102, Port Arthur, TX 77642 Phone: 409-983-7711 Fax: 409-985-5233 | |
Dr. Edward Tildon Braye Jr., MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8765 9th Ave, Port Arthur, TX 77642 Phone: 409-727-6000 Fax: 409-727-6622 |