Organization
RIVER OAKS MEDICAL CENTER, L.P
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JIM SHALLOCK (CFO)
(713) 964-8895
Entity
Organization
Contact information
Practice address
4200 TWELVE OAKS, HOUSTON, TX 77027-6812
(713) 623-2500
Mailing address
4200 TWELVE OAKS, HOUSTON, TX 77027-6812
(713) 623-2500
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
162457902
—
TX
Enumeration date
04/12/2007
Last updated
07/26/2007
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