Provider Demographics
NPI:1962497222
Name:OISHI, MASAKI (MD)
Entity Type:Individual
Prefix:MR
First Name:MASAKI
Middle Name:
Last Name:OISHI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12121 RICHMOND AVENUE
Mailing Address - Street 2:SUITE 324
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77082
Mailing Address - Country:US
Mailing Address - Phone:281-870-9292
Mailing Address - Fax:281-870-8493
Practice Address - Street 1:12121 RICHMOND AVENUE
Practice Address - Street 2:SUITE 324
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77082
Practice Address - Country:US
Practice Address - Phone:281-870-9292
Practice Address - Fax:281-870-8493
Is Sole Proprietor?:No
Enumeration Date:2005-09-13
Last Update Date:2014-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL6133207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX158161302OtherMEDICAID
TX166350201Medicaid
TX8C1504OtherMEDICARE
TX158161302OtherMEDICAID
TX00139XMedicare ID - Type Unspecified