Doctor Name: | DALE E MOHAR |
NPI Number: | 1194721696 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | J0136 |
Business Practice Address: | 708 Hill Country Dr Ste 400 Kerrville, TX - 780286071 |
Business Phone Number: | 8308961433 |
Business Fax Number: | 8308961440 |
Mailing Address: | 708 Hill Country Dr, Ste 400 KERRVILLE |
State: | TX |
Postal Code: | 780286071 |
Phone Number: | 8308961433 |
Fax Number: | 8308961440 |
NPI Enumeration Date: | 06/21/2005 |
NPI Last Update Date: | 10/15/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | J0136 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |