Provider Demographics
NPI:1548496847
Name:OBST, JAIME REHMANN (DO)
Entity type:Individual
Prefix:
First Name:JAIME
Middle Name:REHMANN
Last Name:OBST
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:JAIME
Other - Middle Name:
Other - Last Name:REHMANN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1000 BONNIE BRAE AVE
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76111-4355
Mailing Address - Country:US
Mailing Address - Phone:817-838-5433
Mailing Address - Fax:
Practice Address - Street 1:1000 BONNIE BRAE AVE
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76111-4355
Practice Address - Country:US
Practice Address - Phone:817-838-5433
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-02
Last Update Date:2024-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXT5417207V00000X
NY271504207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology