MEDICARE: DR. OSCAR CORTEZ OANDASAN M.D.

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	207Q00000X	Family Medicine Physician	F3570	TX

General Provider Information

NPI Number	:	1467427609
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. OSCAR CORTEZ OANDASAN M.D.

Provider Business Mailing Address
First Line	:	201 OAK DR S
Second Line	:	SUITE 102
City	:	LAKE JACKSON
State	:	TX
Zip	:	77566-5676
Country	:	US
Telephone Number	:	979-297-9752
Fax Number	:	979-299-6717

Provider Business Practice Location Address
First Line	:	201 OAK DR S
Second Line	:	SUITE 102
City	:	LAKE JACKSON
State	:	TX
Zip	:	77566-5676
Country	:	US
Telephone Number	:	979-297-9752
Fax Number	:	979-299-6717

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/21/2006
Last Update Date	:	07/08/2007

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