| NPI | 1972574317 |
|---|---|
| Doing Business As | LIVE OAK MEDICINE |
| Entity Type | Organization |
| Authorized Contact | AMY E VAN DORFY Owner /Physician 830-693-2005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX L4778) |
| Enumeration Date | 2006-02-01 |
| Last Update Date | 2022-04-12 |