Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ehrentraud Johanna Eichelbaum, MD

Individual provider Plastic Surgery Physician · NPI 1255518486

Ehrentraud Johanna Eichelbaum, MD is a General Practice in Katy, Texas. Qualified in 1988, 38 years ago. Practices with C3 Wellness LLC, a 6-clinician group and accepts Medicare assignment. Licensed in Florida, Puerto Rico and Texas.

Years since qualifying
38
Licensed in
FL, PR, TX
In the registry since
2008
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

21685 Kingsland Blvd
Katy, TX 77450-2512
Phone: (346) 594-2104
Fax: (346) 594-2103
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence U7674 (TX)
Plastic Surgery Physician Taxonomy 208200000X · Licence U7674 (TX)
General Practice Physician Taxonomy 208D00000X · Licence 18573 (PR)
General Practice Physician Taxonomy 208D00000X · Licence ME140028 (FL)

Record details

NPI number1255518486
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedJanuary 30, 2008
Last updated in NPPESJuly 24, 2026
Certification dateJuly 24, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL PRACTICE
Medical schoolOTHER
Graduated 1988 (38 years in practice)
Group practice C3 Wellness Llc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Katy