Provider Demographics
NPI:1508066770
Name:FRANK OGLETREEJR.
Entity Type:Organization
Organization Name:FRANK OGLETREEJR.
Other - Org Name:OGLETREE'S CARE FACILITY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:
Authorized Official - Last Name:OGLETREE
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:713-697-1226
Mailing Address - Street 1:929 OAK ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77018-1507
Mailing Address - Country:US
Mailing Address - Phone:713-697-1226
Mailing Address - Fax:713-697-7979
Practice Address - Street 1:929 OAK ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77018-1507
Practice Address - Country:US
Practice Address - Phone:713-697-1226
Practice Address - Fax:713-697-7979
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-24
Last Update Date:2008-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX000759501302R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization