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Organization
ROGER G MOBLAD DPM
Active
Organization
ROGER G MOBLAD DPM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROGER G MOBLAD DPM (OWNER)
(830) 257-7677
Entity
Organization
Contact information
Practice address
224 WESLEY DR, KERRVILLE, TX 78028-5809
(830) 257-7677
(830) 257-7666
Mailing address
224 WESLEY DR, KERRVILLE, TX 78028-5809
(830) 257-7677
(830) 257-7666
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
092829301
—
TX
Enumeration date
03/05/2008
Last updated
07/07/2009
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