Provider Demographics
NPI:1104038009
Name:OXSPRING, HARRY HOLLIS (MD)
Entity Type:Individual
Prefix:
First Name:HARRY
Middle Name:HOLLIS
Last Name:OXSPRING
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9090 GAYLORD ST
Mailing Address - Street 2:SUITE 204
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-2966
Mailing Address - Country:US
Mailing Address - Phone:713-827-1134
Mailing Address - Fax:713-827-7080
Practice Address - Street 1:970 CAMPBELL RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-2804
Practice Address - Country:US
Practice Address - Phone:713-461-3547
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-04
Last Update Date:2009-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF7021174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX097681301Medicaid
TXB25338Medicare UPIN
TX097681301Medicaid