Provider Demographics
NPI:1770659526
Name:MAHR, CLAUDIUS (DO)
Entity Type:Individual
Prefix:PROF
First Name:CLAUDIUS
Middle Name:
Last Name:MAHR
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:11970 N CENTRAL EXPY STE 340
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75243-3787
Mailing Address - Country:US
Mailing Address - Phone:972-940-9520
Mailing Address - Fax:972-940-9535
Practice Address - Street 1:11970 N CENTRAL EXPY STE 340
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75243-3787
Practice Address - Country:US
Practice Address - Phone:972-940-9520
Practice Address - Fax:972-940-9535
Is Sole Proprietor?:No
Enumeration Date:2006-11-24
Last Update Date:2024-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXU1823207RC0000X, 207RA0001X
WAOP60447295207RC0000X, 207RA0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RA0001XAllopathic & Osteopathic PhysiciansInternal MedicineAdvanced Heart Failure and Transplant Cardiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1770659526Medicaid
WA8928063Medicare PIN