Healthcare Provider Details

I. General information

NPI: 1366480725
Provider Name (Legal Business Name): OAKBEND MEDICAL GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/04/2006
Last Update Date: 07/25/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4911 SANDHILL DR
SUGAR LAND TX
77479-5353
US

IV. Provider business mailing address

4911 SANDHILL DR
SUGAR LAND TX
77479-5353
US

V. Phone/Fax

Practice location:
  • Phone: 281-238-7870
  • Fax: 281-633-4985
Mailing address:
  • Phone: 281-238-7870
  • Fax: 281-633-4985

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DONNA FERGUSON
Title or Position: COO
Credential:
Phone: 281-238-7870