Healthcare Provider Details

I. General information

NPI: 1578141388
Provider Name (Legal Business Name): OAKBEND MEDICAL GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/01/2021
Last Update Date: 04/01/2021
Certification Date: 04/01/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10141 US 59 HWY STE E1
WHARTON TX
77488-7224
US

IV. Provider business mailing address

4911 SANDHILL DR
SUGAR LAND TX
77479-5320
US

V. Phone/Fax

Practice location:
  • Phone: 979-358-9410
  • Fax: 979-358-9411
Mailing address:
  • Phone: 281-238-7870
  • Fax: 281-633-4985

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JACKIE RAMIREZ
Title or Position: REGIONAL PRACTICE MANAGER
Credential:
Phone: 281-238-7870