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Individual

DALE E MOHAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
708 HILL COUNTRY DR, STE 400, KERRVILLE, TX 78028-6071
(830) 896-1433
(830) 896-1440
Mailing address
DEPT. 453 PO BOX 1000, MEMPHIS, TN 38148-0001
(828) 575-2625
(828) 350-2174

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
J0136
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1A1591
MEDICARE PTAN
TX
Enumeration date
06/21/2005
Last updated
10/31/2023
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