Provider Demographics
NPI:1851758296
Name:ORACLE IOM, LLC
Entity Type:Organization
Organization Name:ORACLE IOM, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:MISS
Authorized Official - First Name:ANH
Authorized Official - Middle Name:
Authorized Official - Last Name:NGO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-420-3433
Mailing Address - Street 1:118 VINTAGE PARK BLVD
Mailing Address - Street 2:SUITE W-405
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77070-3959
Mailing Address - Country:US
Mailing Address - Phone:832-680-0119
Mailing Address - Fax:
Practice Address - Street 1:118 VINTAGE PARK BLVD
Practice Address - Street 2:SUITE W-405
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77070-3959
Practice Address - Country:US
Practice Address - Phone:832-680-0119
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-15
Last Update Date:2016-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2472E0500XTechnologists, Technicians & Other Technical Service ProvidersTechnician, OtherEEGGroup - Single Specialty