| Oaks-west Health Center Pllc | |
|
20121 W Lake Houston Pkwy Ste 1600 Humble TX 77346-3548 | |
| (281) 852-8724 | |
| Not Available |
| Full Name | Oaks-west Health Center Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 20121 W Lake Houston Pkwy Ste 1600, Humble, Texas |
| Authorized Official Name and Position | Jana M Winberg (OWNER) |
| Authorized Official Contact | 2818528724 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oaks-west Health Center Pllc 20121 W Lake Houston Pkwy Ste 1600 Humble TX 77346-3548 Ph: (281) 852-8724 | Oaks-west Health Center Pllc 20121 W Lake Houston Pkwy Ste 1600 Humble TX 77346-3548 Ph: (281) 852-8724 |
| NPI Number | 1750632428 |
|---|---|
| Provider Enumeration Date | 09/21/2012 |
| Last Update Date | 01/15/2013 |
| Medicare PECOS PAC ID | 8224282140 |
|---|---|
| Medicare Enrollment ID | O20130131000142 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750632428 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | L4815 (Texas) | Primary |
| Provider Name | Dawn M Vlier Bush |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1821326968 PECOS PAC ID: 3971648783 Enrollment ID: I20100304000587 |
| Provider Name | David Roy Bush |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881649945 PECOS PAC ID: 7416959051 Enrollment ID: I20120109000523 |
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