Provider Demographics
NPI:1346443181
Name:DELLA RENEE OGLETREE
Entity Type:Organization
Organization Name:DELLA RENEE OGLETREE
Other - Org Name:OGLETREE 'S HCS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:DELLA
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:OGLETREE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-697-1226
Mailing Address - Street 1:1235 NORTH LOOP WEST 1118
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77008
Mailing Address - Country:US
Mailing Address - Phone:713-697-1226
Mailing Address - Fax:
Practice Address - Street 1:1235 NORTH LOOP W
Practice Address - Street 2:1118
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77008-1758
Practice Address - Country:US
Practice Address - Phone:713-697-1226
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-08
Last Update Date:2008-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX001007253305R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX=========OtherSOCIAL SECURITY