MEDICARE: OASIS MEDICAL CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261Q00000X	Clinic/Center
2	261QC1500X	Community Health Clinic/Center

General Provider Information

NPI Number	:	1639519499
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OASIS MEDICAL CENTER

Provider Business Mailing Address
First Line	:	PO BOX 3342
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77383-3342
Country	:	US
Telephone Number	:	832-693-4533
Fax Number	:

Provider Business Practice Location Address
First Line	:	388 W LITTLE YORK RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77076-1303
Country	:	US
Telephone Number	:	832-693-4533
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	WYKEITA WARREN
Credential	:
Telephone Number	:	832-693-4533

Provider Enumeration Date	:	06/26/2013
Last Update Date	:	06/26/2013

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Directions to “OASIS MEDICAL CENTER ” Practice Location

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