Provider Demographics
NPI:1104829910
Name:EHRHARDT, RALPHANA LYNN (MD)
Entity Type:Individual
Prefix:DR
First Name:RALPHANA
Middle Name:LYNN
Last Name:EHRHARDT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:5494 GLEN LAKES DR
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-4308
Mailing Address - Country:US
Mailing Address - Phone:214-692-6220
Mailing Address - Fax:214-692-8764
Practice Address - Street 1:5494 GLEN LAKES DR
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-4308
Practice Address - Country:US
Practice Address - Phone:214-692-6220
Practice Address - Fax:214-692-8764
Is Sole Proprietor?:No
Enumeration Date:2005-05-24
Last Update Date:2012-11-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXMDH0327207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX180038898OtherRAILROAD MEDICARE
TX2089431OtherAETNA HMO
TX114165702Medicaid
TX83600SOtherHMO BLUE
TX83600SOtherBLUE CROSS BLUE SHIELD
TX83600SOtherBLUE CROSS BLUE SHIELD
TX83600SOtherHMO BLUE