Individual
DR. PAUL LOAR III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
901 W 38TH ST, SUITE 300, AUSTIN, TX 78705-1163
(512) 421-4100
(512) 453-1226
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
ME93500
FL
207V00000X
Obstetrics & Gynecology Physician
N2629
TX
207VX0201X
Gynecologic Oncology Physician
Primary
N2629
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1063488617
BCBS TX
TX
05
—
204072701
—
TX
05
—
204072702
—
TX
05
—
204072703
—
TX
01
—
P00784608
RAILROAD MEDICARE
TX
Enumeration date
02/24/2006
Last updated
07/07/2011
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