Healthcare Provider Details

I. General information

NPI: 1003539677
Provider Name (Legal Business Name): OAKBEND MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/20/2022
Last Update Date: 02/07/2023
Certification Date: 02/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

811 GARNER RD
PASADENA TX
77502-2315
US

IV. Provider business mailing address

1705 JACKSON ST
RICHMOND TX
77469-3246
US

V. Phone/Fax

Practice location:
  • Phone: 713-473-8573
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: JOSEPH FREUDENBERGER
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 281-341-4812