Healthcare Provider Details

I. General information

NPI: 1093211047
Provider Name (Legal Business Name): OCI ACQUISITION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/30/2018
Last Update Date: 03/30/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

706A W BEN WHITE BLVD
AUSTIN TX
78704-7144
US

IV. Provider business mailing address

4300 SIGMA RD STE 130
DALLAS TX
75244-4445
US

V. Phone/Fax

Practice location:
  • Phone: 972-756-0500
  • Fax:
Mailing address:
  • Phone: 972-756-0500
  • Fax: 972-756-0448

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL J REISWIG
Title or Position: CEO
Credential:
Phone: 972-630-6356