Provider Demographics
NPI:1598892721
Name:OBSTETRICS & GYNECOLOGY ASSOCIATES OF DALLAS, P A
Entity Type:Organization
Organization Name:OBSTETRICS & GYNECOLOGY ASSOCIATES OF DALLAS, P A
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DALE
Authorized Official - Middle Name:R
Authorized Official - Last Name:EHMER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-823-9630
Mailing Address - Street 1:3801 GASTON AVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75246-1541
Mailing Address - Country:US
Mailing Address - Phone:214-823-9630
Mailing Address - Fax:214-821-3556
Practice Address - Street 1:3801 GASTON AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75246-1541
Practice Address - Country:US
Practice Address - Phone:214-823-9630
Practice Address - Fax:214-821-3556
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-27
Last Update Date:2011-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH9907207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX82W102Medicare ID - Type UnspecifiedDALE EHMER
TX82W101Medicare ID - Type UnspecifiedGLEN HECKMAN
TX82W101Medicare ID - Type UnspecifiedSTEVEN HARRIS