=====================================================
General NPI Number Information
=====================================================
NPI Number | 1093812372
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | JOSEPH OEI MD PA
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/20/2006
-----------------------------------------------------
Last Update Date | 11/21/2007
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2300 W MICHIGAN AVE SUITE 4
-----------------------------------------------------
City | MIDLAND
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 79701-5808
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 432-682-6291
-----------------------------------------------------
Fax | 432-683-6147
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2300 W MICHIGAN SUITE 4
-----------------------------------------------------
City | MIDLAND
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 79701-5808
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 432-682-6291
-----------------------------------------------------
Fax | 432-683-6147
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PHYSICIAN& PRESIDENT
-----------------------------------------------------
Name | JOSEPH OEI
-----------------------------------------------------
Credential | M.D.
-----------------------------------------------------
Telephone | 432-682-6291
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207LP2900X
-----------------------------------------------------
Taxonomy Name | Pain Medicine (Anesthesiology) Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------