Provider Demographics
NPI:1154958148
Name:KOLAR, AARON R (DO)
Entity type:Individual
Prefix:
First Name:AARON
Middle Name:R
Last Name:KOLAR
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:713 E ANDERSON ST
Mailing Address - Street 2:
Mailing Address - City:WEATHERFORD
Mailing Address - State:TX
Mailing Address - Zip Code:76086-5705
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:9111 JORDAN LANE
Practice Address - Street 2:SUITE 300
Practice Address - City:WOODWAY
Practice Address - State:TX
Practice Address - Zip Code:76712-7671
Practice Address - Country:US
Practice Address - Phone:254-253-2855
Practice Address - Fax:254-294-8413
Is Sole Proprietor?:No
Enumeration Date:2020-03-27
Last Update Date:2023-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXT4952207R00000X, 208D00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program