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Live Oak Pediatrics, Pa
Primary Care Clinic/Center in Live Oak, Texas
NPI 1992905525

Live Oak Pediatrics, Pa is a Primary Care Clinic/Center based in Live Oak, TX and is specialized in Primary Care. Live Oak Pediatrics, Pa practices in Live Oak, TX. The NPI Number for Live Oak Pediatrics, Pa is 1992905525 and holds a License No. (Texas).

The current practice location address for Live Oak Pediatrics, Pa is 12702 Toepperwein Rd, Live Oak, TX and can be reached out via phone at 210-599-6251 and via fax at 210-599-6254.

Location: 12702 Toepperwein Rd, Live Oak, TX, 78233-3278
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1992905525
Provider Name
Live Oak Pediatrics, Pa
Credential
Provider Entity Type
Organization
Address
12702 Toepperwein Rd, Live Oak, TX, 78233-3278
Phone Number
210-599-6251
Fax Number
210-599-6254
Provider Enumeration Date
07/23/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
I15074 01 UPIN
institution
Provider Business Practice Location Address Details
Address
12702 Toepperwein Rd
City
Live Oak
State
Texas
Zip
78233-3278
Phone Number
210-599-6251
Fax Number
210-599-6254
person
Provider Business Mailing Address Details
Address
12702 Toepperwein Rd
City
Live Oak
State
Texas
Zip
78233-3278
Phone Number
210-599-6251
Fax Number
210-599-6254
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
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Definition
Definition to come...
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