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NPI Code Detail

MEDICARE: ADOLPH MARES JR. MD

MEDICARE:   ADOLPH  MARES JR. MD
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
1207RC0000XCardiovascular Disease PhysicianH7323TX

Other Identifiers

General Provider Information

NPI Number : 1730180290
Entity Type Code : Individual
Provider Name (Legal Business Name) : ADOLPH MARES JR. MD
Provider Business Mailing Address
First Line : PO BOX 402669
Second Line :
City : ATLANTA
State : GA
Zip : 30384-2669
Country : US
Telephone Number : 512-206-4300
Fax Number : 512-206-4350
Provider Business Practice Location Address
First Line : 800 W CENTRAL TEXAS EXPY
Second Line : STE. 355
City : HARKER HEIGHTS
State : TX
Zip : 76548-1899
Country : US
Telephone Number : 254-526-2085
Fax Number : 254-526-9569
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2005
Last Update Date : 01/26/2022

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