Healthcare Provider Details

I. General information

NPI: 1275862575
Provider Name (Legal Business Name): OASIS CADUCEUS BILLING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2009
Last Update Date: 12/15/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

837 FM 1960 RD W SUITE 107
HOUSTON TX
77090-3423
US

IV. Provider business mailing address

4265 SAN FELIPE ST SUITE 1100
HOUSTON TX
77027-2920
US

V. Phone/Fax

Practice location:
  • Phone: 713-960-6692
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: KRAIG KILLOUGH
Title or Position: MANAGER
Credential:
Phone: 713-960-6692