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Individual

RICHARD EHLERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
18100 SAINT JOHN DR, STE. 320, HOUSTON, TX 77058-3631
(713) 563-0670
Mailing address
18100 SAINT JOHN DR, STE. 320, HOUSTON, TX 77058-3631
(713) 563-0670

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
L2874
TX
2086X0206X
Surgical Oncology Physician
L2874
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
153932202
TX
05
153932203
TX
05
153932204
TX
01
P00476504
RAILROAD MEDICARE
TX
Enumeration date
07/26/2005
Last updated
04/19/2012
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