Oasis Health Clinic PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

OASIS HEALTH CLINIC PLLC

Practice address

1701 23Rd St
Galveston, TX 77550-7901

Phone

(409) 539-5312

Fax

(409) 207-5016

NPI assigned

May 2, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Victor S Jackson, MDNPI 1679969877

Title

Medical Director/Ceo

Phone

(409) 539-5312

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Victor S Jackson, MD

  • Internal Medicine Physician
  • Galveston, TX
  • NPI 1679969877
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1714608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726704000000",
    "number": "1609623198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5826 BROADWAY ST STE 3734",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775514385",
            "telephone_number": "409-539-5312",
            "fax_number": "409-207-5016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 23RD ST",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775507901",
            "telephone_number": "409-539-5312",
            "fax_number": "409-207-5016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OASIS HEALTH CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-02",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR/CEO",
        "authorized_official_telephone_number": "409-539-5312",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth L O'Daniel
• Alice A O'Donell, MD
• Mary Eleanore O'Keefe, LPC
• Chandler O'Leary, DO
• Sean O'Mahony, MD
• Yazan Yahia Obeid, M.D.
• Omar Mohammad Qwaider Obeidat, M.D.
• Ann Obi
• Michael Oboyle, MD
• Joseph Henry Oculam

• Internal Medicine Physician in Galveston, TX
• Providers in Galveston, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.