Provider Demographics
NPI:1518141746
Name:ONYX HEALTHCARE PA
Entity Type:Organization
Organization Name:ONYX HEALTHCARE PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:M
Authorized Official - Last Name:EHRET
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:936-442-8444
Mailing Address - Street 1:15949 HIGHWAY 105 W
Mailing Address - Street 2:SUITE 52
Mailing Address - City:MONTGOMERY
Mailing Address - State:TX
Mailing Address - Zip Code:77356-5738
Mailing Address - Country:US
Mailing Address - Phone:936-842-8444
Mailing Address - Fax:832-442-3322
Practice Address - Street 1:15949 HIGHWAY 105 W
Practice Address - Street 2:SUITE 52
Practice Address - City:MONTGOMERY
Practice Address - State:TX
Practice Address - Zip Code:77356-5738
Practice Address - Country:US
Practice Address - Phone:936-442-8444
Practice Address - Fax:832-442-3322
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-24
Last Update Date:2008-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1422213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1073564233OtherPERSONAL NPI
TX82D180Medicare PIN
TX1073564233OtherPERSONAL NPI
TX00279YMedicare PIN