LIVE OAK PSYCHIATRIC AND FAMILY PRACTICE PLLC NPI 1003579913

NPI Information

NPI: 1003579913
Provider Name: LIVE OAK PSYCHIATRIC AND FAMILY PRACTICE, PLLC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

CLIA Number: 45D0873001

Address:
1100 NW LOOP 410
SAN ANTONIO, TX
ZIP 78213
Phone: (347) 607-9126
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LIVE OAK PSYCHIATRIC AND FAMILY PRACTICE, PLLC is a psychiatric/mental health nurse practitioner in San Antonio, TX. LIVE OAK PSYCHIATRIC AND FAMILY PRACTICE, PLLC NPI is 1003579913. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1100 NW LOOP 410
SAN ANTONIO, TX
ZIP 78213-263
Phone: (347) 607-9126

The provider's authorized official is Nakeitra Curtis .
The authorized official title is Credentialing Manager and has the following contact phone number (254) 466-1749.

The CLIA number assigned to this NPI record is 45D0873001 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 10/18/2021 and was last updated on 1/13/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	207Q00000X	Family Medicine		No
2	2084P0800X	Psychiatry & Neurology	Psychiatry	No
3	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	No
4	261QM1300X	Clinic/Center	Multi-Specialty	No
5	261QP2300X	Clinic/Center	Primary Care	No
6	363LP2300X	Nurse Practitioner	Primary Care	No
7	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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