Organization Active NPI

Oasisrock Medical Centre PLLC

  • Family Medicine Physician
  • Arlington, TX
National Provider Identifier
1649076340
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
OASISROCK MEDICAL CENTRE PLLC
Practice address
905 Medical Centre Dr Ste C
Arlington, TX 76012-4755
Phone
(682) 882-6060
Fax
(682) 882-6070
NPI assigned
Feb 22, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2025

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

Authorized official

Name
Eberechi Anozie, DONPI 1689008179
Title
Physician Owner
Phone
(973) 687-5349

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

905 Medical Centre Dr Ste C
Arlington, TX 76012-4755

Mailing address

905 Medical Centre Dr Ste C
Arlington, TX 76012-4755
Phone (682) 882-6060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250619002083 TX Part B Supplier - Clinic/Group Practice 0042721623 Receives reassigned benefits from 1 practitioner
Practice locations: Arlington, TX

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2325943Oasisrock Medical Centre PLLC905 Medical Centre Drive Suite C, Arlington, TX 76012Certificate of waiverJun 23, 2027

National Provider Directory

National Provider Directory

Locations

905 Medical Centre Dr
Ste C
Arlington, TX 76012
Phone (682) 882-6060

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1740182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748908800000",
    "number": "1649076340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 MEDICAL CENTRE DR STE C",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760124755",
            "telephone_number": "682-882-6060",
            "fax_number": "682-882-6070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 MEDICAL CENTRE DR STE C",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760124755",
            "telephone_number": "682-882-6060",
            "fax_number": "682-882-6070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OASISROCK MEDICAL CENTRE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-22",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A",
        "authorized_official_last_name": "ANOZIE",
        "authorized_official_first_name": "EBERECHI",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "973-687-5349",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2025; 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.