Healthcare Provider Details

I. General information

NPI: 1598758765
Provider Name (Legal Business Name): RIVER OAKS MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/23/2005
Last Update Date: 07/26/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4203 YOAKUM BLVD 2ND FLOOR
HOUSTON TX
77006-5452
US

IV. Provider business mailing address

4203 YOAKUM BLVD 2ND FLOOR
HOUSTON TX
77006-5452
US

V. Phone/Fax

Practice location:
  • Phone: 713-630-6103
  • Fax: 713-630-6181
Mailing address:
  • Phone: 713-630-6103
  • Fax: 713-630-6181

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number
License Number State

VIII. Authorized Official

Name: GREGG GARRISON
Title or Position: CFO
Credential:
Phone: 713-623-2500