Healthcare Provider Details

I. General information

NPI: 1194795153
Provider Name (Legal Business Name): JULIE R OHLMAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/24/2006
Last Update Date: 05/06/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4519 N GARFIELD ST STE 15
MIDLAND TX
79705-3415
US

IV. Provider business mailing address

PO BOX 4157
MIDLAND TX
79704-4157
US

V. Phone/Fax

Practice location:
  • Phone: 432-699-0306
  • Fax: 432-520-2181
Mailing address:
  • Phone: 432-699-0306
  • Fax: 432-520-2181

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberK0966
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: