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NPI Code Detail

MEDICARE: OAKWOOD MEDICAL SERVICES, PLLC

MEDICARE: OAKWOOD MEDICAL SERVICES, PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208VP0000XPain Medicine Physician

General Provider Information

NPI Number : 1093265332
Entity Type Code : Organization
Provider Name (Legal Business Name) : OAKWOOD MEDICAL SERVICES, PLLC
Provider Business Mailing Address
First Line : PO BOX 34824
Second Line :
City : FORT WORTH
State : TX
Zip : 76162-4824
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3517 SW WILSHIRE BLVD
Second Line :
City : JOSHUA
State : TX
Zip : 76058-6159
Country : US
Telephone Number : 817-292-8585
Fax Number : 817-916-5346
Authorized Official
Title or Position : PRESIDENT
Name : WILLIAM C MOORE
Credential : M.D.
Telephone Number : 817-292-8585
Provider Enumeration Date : 10/11/2016
Last Update Date : 01/25/2017

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Directions to “OAKWOOD MEDICAL SERVICES, PLLC ” Practice Location

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