Tolar, Roger L

Tolar, Roger L is an individual health care provider with primary practice located at 100 Bourland Rd Ste 170 , Keller TX 76248-3592. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Tolar, Roger L can be contacted via phone (817) 741-2001.

Contact Information

Primary practice address
100 Bourland Rd Ste 170 Keller TX 76248-3592
Fax: (817) 741-2015
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X J2911 Texas
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X J2911 Texas

Profile Details

NPI number 1255365276
LBN Legal business name Tolar, Roger L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Apr 13th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255365276 NPPES
Texas MEDICAID 165367701

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