Provider Demographics
NPI:1164496113
Name:UHR, MARILYN MAE (M D)
Entity Type:Individual
Prefix:DR
First Name:MARILYN
Middle Name:MAE
Last Name:UHR
Suffix:
Gender:F
Credentials:M D
Other - Prefix:
Other - First Name:MARILYN
Other - Middle Name:MAE
Other - Last Name:BIHLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1333 COATES BLUFF DR
Mailing Address - Street 2:
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71104-2822
Mailing Address - Country:US
Mailing Address - Phone:318-865-7795
Mailing Address - Fax:318-456-6814
Practice Address - Street 1:243 CURTISS RD
Practice Address - Street 2:
Practice Address - City:BARKSDALE AFB
Practice Address - State:LA
Practice Address - Zip Code:71110-2425
Practice Address - Country:US
Practice Address - Phone:318-456-6214
Practice Address - Fax:318-456-6814
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-15
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAMD.11616R207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA024318OtherCDS
BU9372056OtherDEA--FEDERAL FEE EXEMPT
BU2392063OtherDEA--FEDERAL FEE PAID
BU2392063OtherDEA--FEDERAL FEE PAID