Healthcare Provider Details

I. General information

NPI: 1245214642
Provider Name (Legal Business Name): OAKBEND MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/30/2005
Last Update Date: 06/05/2023
Certification Date: 06/05/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8611 MAIN ST
NEEDVILLE TX
77461-8136
US

IV. Provider business mailing address

8611 MAIN ST
NEEDVILLE TX
77461-8136
US

V. Phone/Fax

Practice location:
  • Phone: 979-793-4256
  • Fax: 979-793-3150
Mailing address:
  • Phone: 979-793-4256
  • Fax: 979-793-3150

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number111539
License Number StateTX

VIII. Authorized Official

Name: MRS. DIANE RENEE VOLEK
Title or Position: BUSINESS OFFICE MANAGER
Credential:
Phone: 512-352-6337