Provider Demographics
NPI:1457651556
Name:HOAR, MARIANA (PHD)
Entity Type:Individual
Prefix:DR
First Name:MARIANA
Middle Name:
Last Name:HOAR
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2200 BERQUIST DR. STE 1
Mailing Address - Street 2:STE 1
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78236-9908
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:145 WESTERN TRL
Practice Address - Street 2:
Practice Address - City:BUFFALO GAP
Practice Address - State:TX
Practice Address - Zip Code:79508-1102
Practice Address - Country:US
Practice Address - Phone:940-765-0886
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-24
Last Update Date:2018-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX36370103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical