MEDICARE: OATHEN 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	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1740878719
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OATHEN GROUP

Provider Business Mailing Address
First Line	:	17238 OAKWOOD CHASE DR
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77379-5164
Country	:	US
Telephone Number	:	832-433-4985
Fax Number	:

Provider Business Practice Location Address
First Line	:	10333 HARWIN DR STE 460D
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77036-1532
Country	:	US
Telephone Number	:	832-759-2911
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT AND CEO
Name	:	EHIMEN OGBEIDE
Credential	:
Telephone Number	:	832-433-4985

Provider Enumeration Date	:	01/06/2021
Last Update Date	:	01/06/2021

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