Provider Demographics
NPI:1275904211
Name:BOHRMAN, CARA (PA-C)
Entity Type:Individual
Prefix:
First Name:CARA
Middle Name:
Last Name:BOHRMAN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7777 FOREST LN STE C106
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75230-6831
Mailing Address - Country:US
Mailing Address - Phone:972-566-5255
Mailing Address - Fax:972-566-5236
Practice Address - Street 1:7777 FOREST LN STE C106
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75230-6831
Practice Address - Country:US
Practice Address - Phone:972-566-5255
Practice Address - Fax:972-566-5236
Is Sole Proprietor?:No
Enumeration Date:2015-10-16
Last Update Date:2023-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX363A00000X
TN2861363A00000X, 363AS0400X
TXPA16267363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical