Basic Information
| Provider Information | |||||||||
| NPI: | 1821176488 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | OAKES | ||||||||
| FirstName: | SANDRA | ||||||||
| MiddleName: | LILIANA | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4330 MEDICAL DR | ||||||||
| Address2: | STE. 500 | ||||||||
| City: | SAN ANTONIO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 782293342 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2106103859 | ||||||||
| FaxNumber: | 2106412277 | ||||||||
| Practice Location | |||||||||
| Address1: | 4330 MEDICAL DR | ||||||||
| Address2: | STE. 500 | ||||||||
| City: | SAN ANTONIO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 782293342 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2106103859 | ||||||||
| FaxNumber: | 2106412277 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/01/2006 | ||||||||
| LastUpdateDate: | 02/04/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 02/04/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207QG0300X | L5855 | TX | N | Allopathic & Osteopathic Physicians | Family Medicine | Geriatric Medicine | 207QH0002X | L5855 | TX | Y | Allopathic & Osteopathic Physicians | Family Medicine | Hospice and Palliative Medicine |
No ID Information.