Provider Demographics
NPI:1639206063
Name:THE OAKVIEW CLINIC, P.A.
Entity Type:Organization
Organization Name:THE OAKVIEW CLINIC, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:HOWARD
Authorized Official - Middle Name:PERRIN
Authorized Official - Last Name:HURD
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:325-641-8700
Mailing Address - Street 1:125 S PARK DR
Mailing Address - Street 2:SUITE H
Mailing Address - City:BROWNWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:76801-5952
Mailing Address - Country:US
Mailing Address - Phone:325-641-8700
Mailing Address - Fax:325-641-8733
Practice Address - Street 1:125 S PARK DR
Practice Address - Street 2:SUITE H
Practice Address - City:BROWNWOOD
Practice Address - State:TX
Practice Address - Zip Code:76801-5952
Practice Address - Country:US
Practice Address - Phone:325-641-8700
Practice Address - Fax:325-641-8733
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-27
Last Update Date:2009-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXDB2302OtherRAILROAD MCR GROUP ID
TX0064KPOtherBCBS GROUP PRACTICE ID
TX170626901Medicaid
TX170626901Medicaid