Provider Demographics
NPI:1477688596
Name:BRIAN A MOHR DDS PA
Entity Type:Organization
Organization Name:BRIAN A MOHR DDS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:MOHR
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:281-376-9670
Mailing Address - Street 1:7623 LOUETTA RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77379-7295
Mailing Address - Country:US
Mailing Address - Phone:281-376-9670
Mailing Address - Fax:281-376-7291
Practice Address - Street 1:7623 LOUETTA RD
Practice Address - Street 2:SUITE 101
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77379-7295
Practice Address - Country:US
Practice Address - Phone:281-376-9670
Practice Address - Fax:281-376-7291
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX144241223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty