SPECIALTY PHYSICIANS OF CENTRAL TEXAS NPI 1104024280

NPI Information

SPECIALTY PHYSICIANS OF CENTRAL TEXAS is a multi-specialty clinic center in San Marcos, TX. SPECIALTY PHYSICIANS OF CENTRAL TEXAS NPI is 1104024280. The provider is registered as an organization entity type.
The provider Is Doing Business As Live Oak Health Partners.

The provider's business location address is:

1340 WONDER WORLD DR STE 4301
SAN MARCOS, TX
ZIP 78666-695
Phone: (512) 353-6400
Fax: (512) 353-3039

The provider's authorized official is Brent Hastings .
The authorized official title is Administrator and has the following contact phone number (512) 753-3728.

The CLIA number assigned to this NPI record is 45D1056243 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/10/2007 and was last updated on 3/6/2020.

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:

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