Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213EP1101X | Primary Podiatric Medicine | 1773 | TX |
N | 213ES0103X | Foot & Ankle Surgery | 1773 | TX |
NPI | 1205866548 |
---|---|
Provider Name | Roseline Toussaint |
First Address | Pflugerville, TX 78660-5109 |
Second Address | Pflugerville, TX 78660-5109 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/07/2006 |
Last Update Date | 28/05/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
182320501 | (05) | TX |
182320502 | (05) | TX |
612572 | RAILROAD MEDICARE (01) | TX |
8AQ580 | BLUE SHIELD (01) | TX |
V09948 | (02) | TX |