| The Oasis Treatment Center Llc | |
|
6035 Airline Dr Houston TX 77076-4240 | |
| (832) 426-4447 | |
| Not Available |
| Full Name | The Oasis Treatment Center Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 6035 Airline Dr, Houston, Texas |
| Authorized Official Name and Position | Ebony Kimario (DIRECTOR) |
| Authorized Official Contact | 8323387103 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Oasis Treatment Center Llc 6035 Airline Dr Ste 3 Houston TX 77076-4224 Ph: (832) 338-7103 | The Oasis Treatment Center Llc 6035 Airline Dr Houston TX 77076-4240 Ph: (832) 426-4447 |
| NPI Number | 1407242365 |
|---|---|
| Provider Enumeration Date | 04/07/2015 |
| Last Update Date | 01/10/2023 |
| Certification Date | 01/10/2023 |
| Medicare PECOS PAC ID | 2860708583 |
|---|---|
| Medicare Enrollment ID | O20150826000936 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407242365 | NPI | - | NPPES |
| Provider Name | Ronald Coleman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841304540 PECOS PAC ID: 0749596484 Enrollment ID: I20150826001455 |
| Provider Name | Joy Michelle Draper |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275921462 PECOS PAC ID: 8426354051 Enrollment ID: I20160308002733 |
| Provider Name | Denielle Martin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407278633 PECOS PAC ID: 8820368293 Enrollment ID: I20170718000186 |
| Provider Name | Ebony Kimario |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033731377 PECOS PAC ID: 1850607573 Enrollment ID: I20211122000429 |
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