Provider Demographics
NPI:1548258833
Name:TOBIN, HUGH E (MD)
Entity type:Individual
Prefix:DR
First Name:HUGH
Middle Name:E
Last Name:TOBIN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 2386
Mailing Address - Street 2:BRAZOS VALLEY PATHOLOGY
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78664
Mailing Address - Country:US
Mailing Address - Phone:210-391-7538
Mailing Address - Fax:512-597-2713
Practice Address - Street 1:800 E. DAWSON
Practice Address - Street 2:TRINITY MOTHER FRANCES HOSPITAL
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75701
Practice Address - Country:US
Practice Address - Phone:512-814-0298
Practice Address - Fax:512-597-2713
Is Sole Proprietor?:No
Enumeration Date:2005-10-11
Last Update Date:2014-10-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXG5694207ZB0001X, 207ZH0000X, 207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
No207ZB0001XAllopathic & Osteopathic PhysiciansPathologyBlood Banking & Transfusion Medicine
No207ZH0000XAllopathic & Osteopathic PhysiciansPathologyHematology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1451882Medicaid
TXTXB115978OtherMEDICARE
TXTXB115978OtherMEDICARE
811180Medicare ID - Type Unspecified