Healthcare Provider Details

I. General information

NPI: 1093684805
Provider Name (Legal Business Name): JOSEPH HENRY OCULAM
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/30/2025
Last Update Date: 10/30/2025
Certification Date: 10/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 UNIVERSITY BLVD
GALVESTON TX
77555-0519
US

IV. Provider business mailing address

12409 SILENT CREEK DR
PEARLAND TX
77584-1676
US

V. Phone/Fax

Practice location:
  • Phone: 409-772-1689
  • Fax:
Mailing address:
  • Phone: 832-964-6413
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LC0200X
TaxonomyCritical Care Medicine Nurse Practitioner
License Number1216601
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: