Provider Demographics
NPI:1881566347
Name:MOHAN VR NB PLLC
Entity type:Organization
Organization Name:MOHAN VR NB PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MOHAN RAJ
Authorized Official - Middle Name:
Authorized Official - Last Name:JAGANATHAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:830-730-5600
Mailing Address - Street 1:1671 I-35 SOUTH
Mailing Address - Street 2:SUITE 300
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78130
Mailing Address - Country:US
Mailing Address - Phone:830-730-5600
Mailing Address - Fax:830-730-5601
Practice Address - Street 1:1671 I-35 SOUTH
Practice Address - Street 2:SUITE 300
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130
Practice Address - Country:US
Practice Address - Phone:830-730-5600
Practice Address - Fax:830-730-5601
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-23
Last Update Date:2025-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty