Individual
KIMBERLY BETH LOAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
12221 RENFERT WAY STE 120&300, AUSTIN, TX 78758-5444
(512) 873-8900
(512) 834-8676
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 234-2987
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
N2628
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202907602
—
TX
05
—
202907603
—
TX
05
—
202907604
—
TX
Enumeration date
06/16/2006
Last updated
09/14/2020
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