Individual
JOHN P. OBERMILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4201 BEE CAVE ROAD, SUITE C-106, AUSTIN, TX 78746-6493
(512) 279-2386
(512) 279-2387
Mailing address
PO BOX 162622, AUSTIN, TX 78716-2622
(512) 279-2386
(512) 279-2387
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
G5442
TX
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
G5442
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1247306-02
CSHCN
TX
05
—
1247306-02
—
TX
01
—
OB082C502
BCBS
TX
Enumeration date
06/01/2005
Last updated
11/21/2008
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