MEDICARE: OASIS MEDICAL SERVICES, LLC

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
1	208D00000X	General Practice Physician

General Provider Information

NPI Number	:	1285596981
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OASIS MEDICAL SERVICES, LLC

Provider Business Mailing Address
First Line	:	609 YESTERDAY DR
Second Line	:
City	:	LINDALE
State	:	TX
Zip	:	75771-2461
Country	:	US
Telephone Number	:	903-497-2655
Fax Number	:

Provider Business Practice Location Address
First Line	:	609 YESTERDAY DR
Second Line	:
City	:	LINDALE
State	:	TX
Zip	:	75771-2461
Country	:	US
Telephone Number	:	903-497-2655
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	NICOLE WILSON
Credential	:
Telephone Number	:	903-497-2655

Provider Enumeration Date	:	12/01/2025
Last Update Date	:	12/01/2025

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