Provider Demographics
NPI:1033324132
Name:RIVER OAKS MEDICAL CENTER, LP
Entity Type:Organization
Organization Name:RIVER OAKS MEDICAL CENTER, LP
Other - Org Name:TWELEVE OKAS MEDICAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:JIM
Authorized Official - Middle Name:
Authorized Official - Last Name:SHALLOCK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-964-8895
Mailing Address - Street 1:4200 TWELVE OAKS
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77027-6812
Mailing Address - Country:US
Mailing Address - Phone:713-623-2500
Mailing Address - Fax:
Practice Address - Street 1:4200 TWELVE OAKS
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77027-6812
Practice Address - Country:US
Practice Address - Phone:713-623-2500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes273R00000XHospital UnitsPsychiatric Unit