Individual
ROBERT W LOAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 COOPER ST, FORT WORTH, TX 76104-2710
(682) 885-2140
Mailing address
PO BOX 733784, DALLAS, TX 75373-3784
(682) 885-1855
(682) 885-1396
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
55360
MN
2080P0202X
Pediatric Cardiology Physician
Primary
R6609
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/11/2011
Last updated
04/06/2021
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