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EHRENTRAUD JOHANNA EICHELBAUM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
21685 KINGSLAND BLVD, KATY, TX 77450-2512
(346) 594-2104
(346) 594-2103
Mailing address
8514 SUN CORAL DR, CYPRESS, TX 77433-7529
(941) 779-4869

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
U7674
TX
208D00000X
General Practice Physician
18573
PR
208D00000X
General Practice Physician
ME140028
FL
208D00000X
General Practice Physician
Primary
U7674
TX
246ZS0410X
Surgical Technologist
238000185
IL

Other

Enumeration date
01/30/2008
Last updated
07/24/2026
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