Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0000X | Obstetrician | TXH9907 | TX |
NPI | 1225016041 |
---|---|
Provider Name | Dr. Dale Robert Ehmer |
First Address | Plano, TX 75025-3052 |
Second Address | Dallas, TX 75246-1541 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/01/2006 |
Last Update Date | 26/08/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
055466901 | (05) | TX |
F80331 | (02) | TX |