MEDICARE: OAKS URGENT CARE PA

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	261QU0200X	Urgent Care Clinic/Center

General Provider Information

NPI Number	:	1952697039
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OAKS URGENT CARE PA

Provider Business Mailing Address
First Line	:	25410 I H 45
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77386-1351
Country	:	US
Telephone Number	:	281-363-5600
Fax Number	:

Provider Business Practice Location Address
First Line	:	25410 I H 45
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77386-1351
Country	:	US
Telephone Number	:	281-363-5600
Fax Number	:

Authorized Official
Title or Position	:	OWNER/PRESIDENT
Name	:	DR. GARTH DENYER
Credential	:	MD
Telephone Number	:	281-367-1414

Provider Enumeration Date	:	06/27/2011
Last Update Date	:	03/02/2012

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