MEDICARE: OAKBEND MEDICAL GROUP

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	207XX0005X	Sports Medicine (Orthopaedic Surgery) Physician
2	207X00000X	Orthopaedic Surgery Physician

General Provider Information

NPI Number	:	1558611764
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OAKBEND MEDICAL GROUP

Provider Business Mailing Address
First Line	:	4911 SANDHILL DR
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77479-5320
Country	:	US
Telephone Number	:	281-238-7870
Fax Number	:	281-633-4985

Provider Business Practice Location Address
First Line	:	7830 W. GRAND PKWY
Second Line	:	SUITE 280
City	:	RICHMOND
State	:	TX
Zip	:	77406-5818
Country	:	US
Telephone Number	:	281-633-4940
Fax Number	:	281-633-4943

Authorized Official
Title or Position	:	REGIONAL PRACTICE MANAGER
Name	:	MS. JACKIE RAMIREZ
Credential	:
Telephone Number	:	281-238-7870

Provider Enumeration Date	:	09/14/2012
Last Update Date	:	03/22/2013

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Directions to “OAKBEND MEDICAL GROUP ” Practice Location

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