Provider Demographics
NPI:1578141388
Name:OAKBEND MEDICAL GROUP
Entity Type:Organization
Organization Name:OAKBEND MEDICAL GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGIONAL PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JACKIE
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMIREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-238-7870
Mailing Address - Street 1:4911 SANDHILL DR
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-5320
Mailing Address - Country:US
Mailing Address - Phone:281-238-7870
Mailing Address - Fax:281-633-4985
Practice Address - Street 1:10141 US 59 HWY STE E1
Practice Address - Street 2:
Practice Address - City:WHARTON
Practice Address - State:TX
Practice Address - Zip Code:77488-7224
Practice Address - Country:US
Practice Address - Phone:979-358-9410
Practice Address - Fax:979-358-9411
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:OAKBEND MEDICAL GROUP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-04-01
Last Update Date:2021-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health