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Organization
LIVE OAK PSYCHIATRIC AND FAMILY PRACTICE, PLLC
Active
Organization
LIVE OAK PSYCHIATRIC AND FAMILY PRACTICE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAKEITRA CURTIS (CREDENTIALING MANAGER)
(254) 466-1749
Entity
Organization
Contact information
Practice address
1100 NW LOOP 410, SAN ANTONIO, TX 78213-2263
(347) 607-9126
Mailing address
11230 FOREST PASS CT, LIVE OAK, TX 78233-7236
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
2084P0800X
Psychiatry Physician
—
NULL
2084P0800X
Psychiatry Physician
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
NULL
261QM1300X
Multi-Specialty Clinic/Center
—
NULL
261QP2300X
Primary Care Clinic/Center
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
363LP2300X
Primary Care Nurse Practitioner
—
NULL
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
10/18/2021
Last updated
01/13/2022
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