FREEDOM PRIMARY CARE PLLC NPI 1750158002

NPI Information

  • NPI: 1750158002
  • Provider Name: FREEDOM PRIMARY CARE PLLC
  • Classification: Nurse Practitioner - 363LP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • CLIA Number: 45D2293996
  • Address: 12702 TOEPPERWEIN RD
    SUITE 201
    LIVE OAK, TX
    ZIP 78233
  • Phone: (210) 701-0690

Map and Directions

Get Directions

NPI Details

FREEDOM PRIMARY CARE PLLC is a primary care nurse practitioner in Live Oak, TX. FREEDOM PRIMARY CARE PLLC NPI is 1750158002. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

12702 TOEPPERWEIN RD
SUITE 201
LIVE OAK, TX
ZIP 78233
Phone: (210) 701-0690

The provider's authorized official is Leslie Michelle Dubois .
The authorized official title is Owner and has the following contact phone number (706) 799-7068.

The CLIA number assigned to this NPI record is 45D2293996 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/7/2023 and was last updated on 12/7/2023.

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 License Number License State Primary
1363LP2300XNurse PractitionerPrimary CareYes

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: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI