MEDICARE: DR. MOHAMAD A NAWAR M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0000X	Cardiovascular Disease Physician	L8249	TX
2	207RH0005X	Hypertension Specialist Physician	L8249	TX
3	207RI0011X	Interventional Cardiology Physician	L8249	TX

General Provider Information

NPI Number	:	1013065382
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MOHAMAD A NAWAR M.D.

Provider Business Mailing Address
First Line	:	2201 N BEDELL AVE
Second Line	:	STE E
City	:	DEL RIO
State	:	TX
Zip	:	78840-8021
Country	:	US
Telephone Number	:	830-703-1646
Fax Number	:

Provider Business Practice Location Address
First Line	:	2201 N BEDELL AVE
Second Line	:	STE E
City	:	DEL RIO
State	:	TX
Zip	:	78840-8021
Country	:	US
Telephone Number	:	830-703-1646
Fax Number	:	830-774-7257

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/05/2007
Last Update Date	:	07/21/2022

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