NPI | 1104024280 |
---|---|
Doing Business As | LIVE OAK HEALTH PARTNERS |
Entity Type | Organization |
Authorized Contact | BRENT HASTINGS Administrator 512-753-3728 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: TX KL4732) |
Enumeration Date | 2007-07-10 |
Last Update Date | 2020-03-06 |