| NPI | 1508848029 |
|---|---|
| Doing Business As | LIVE OAK PROFESSIONAL CENTER |
| Entity Type | Organization |
| Authorized Contact | SUE NIXSON Office Manager 903-886-8818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX H0803) |
| 208D00000X General Practice (Licence: TX K6628) | |
| Enumeration Date | 2005-11-18 |
| Last Update Date | 2023-04-05 |