Healthcare Provider Details

I. General information

NPI: 1124070511
Provider Name (Legal Business Name): OAKBEND MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/16/2006
Last Update Date: 02/07/2023
Certification Date: 02/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1405 VALHALLA DR
WHARTON TX
77488-9218
US

IV. Provider business mailing address

1705 JACKSON ST
RICHMOND TX
77469-3246
US

V. Phone/Fax

Practice location:
  • Phone: 979-532-1244
  • Fax: 979-532-1142
Mailing address:
  • Phone: 281-341-4881
  • Fax: 281-341-3056

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number112200
License Number StateTX

VIII. Authorized Official

Name: MR. JOE FREUDENBERGER
Title or Position: CEO
Credential:
Phone: 281-341-4812