Provider Demographics
NPI:1467427609
Name:OANDASAN, OSCAR CORTEZ (MD)
Entity Type:Individual
Prefix:DR
First Name:OSCAR
Middle Name:CORTEZ
Last Name:OANDASAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:201 OAK DR S
Mailing Address - Street 2:SUITE 102
Mailing Address - City:LAKE JACKSON
Mailing Address - State:TX
Mailing Address - Zip Code:77566-5676
Mailing Address - Country:US
Mailing Address - Phone:979-297-9752
Mailing Address - Fax:979-299-6717
Practice Address - Street 1:201 OAK DR S
Practice Address - Street 2:SUITE 102
Practice Address - City:LAKE JACKSON
Practice Address - State:TX
Practice Address - Zip Code:77566-5676
Practice Address - Country:US
Practice Address - Phone:979-297-9752
Practice Address - Fax:979-299-6717
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-21
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXF3570207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXB25214Medicare UPIN