Healthcare Provider Details

I. General information

NPI: 1356729016
Provider Name (Legal Business Name): OASIS HEALTHCARE CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2015
Last Update Date: 05/14/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

112 SEZANNE CT
LITTLE ROCK AR
72223-5095
US

IV. Provider business mailing address

112 SEZANNE CT
LITTLE ROCK AR
72223-5095
US

V. Phone/Fax

Practice location:
  • Phone: 214-264-5823
  • Fax: 214-710-2156
Mailing address:
  • Phone: 214-264-5823
  • Fax: 214-710-2156

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberE3012
License Number StateAR
# 2
Primary TaxonomyN
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License NumberE3012
License Number StateAR

VIII. Authorized Official

Name: SYED MAZHER
Title or Position: PHYICIAN
Credential: MD
Phone: 214-264-5823