MEDICARE: RICHARD EHLERS M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2086X0206X	Surgical Oncology Physician	L2874	TX
2	208600000X	Surgery Physician	L2874	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	P00476504	OTHER	TX	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1821098526
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RICHARD EHLERS M.D.

Provider Business Mailing Address
First Line	:	18100 SAINT JOHN DR
Second Line	:	STE. 320
City	:	HOUSTON
State	:	TX
Zip	:	77058-3631
Country	:	US
Telephone Number	:	713-563-0670
Fax Number	:

Provider Business Practice Location Address
First Line	:	18100 SAINT JOHN DR
Second Line	:	STE. 320
City	:	HOUSTON
State	:	TX
Zip	:	77058-3631
Country	:	US
Telephone Number	:	713-563-0670
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/26/2005
Last Update Date	:	04/19/2012

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Directions to “ RICHARD EHLERS M.D.” Practice Location

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