Provider Demographics
NPI:1194795153
Name:OHLMAN, JULIE R (MD)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:R
Last Name:OHLMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 4157
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:TX
Mailing Address - Zip Code:79704-4157
Mailing Address - Country:US
Mailing Address - Phone:432-699-0306
Mailing Address - Fax:432-520-2181
Practice Address - Street 1:4519 N GARFIELD ST
Practice Address - Street 2:STE 15
Practice Address - City:MIDLAND
Practice Address - State:TX
Practice Address - Zip Code:79705-3415
Practice Address - Country:US
Practice Address - Phone:432-699-0306
Practice Address - Fax:432-520-2181
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-24
Last Update Date:2013-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK0966207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX029497701Medicaid
TX029497701Medicaid
TX00070DMedicare ID - Type Unspecified