Healthcare Provider Details

I. General information

NPI: 1538938212
Provider Name (Legal Business Name): EMMA AVERY OHLER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/22/2023
Last Update Date: 12/22/2023
Certification Date: 12/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21755 I45 N BLDG 8
SPRING TX
77388-3621
US

IV. Provider business mailing address

15727 CUTTEN RD APT 403
HOUSTON TX
77070-3895
US

V. Phone/Fax

Practice location:
  • Phone: 346-954-8729
  • Fax:
Mailing address:
  • Phone: 346-290-5839
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: