# GREAT OAKS FAMILY PRACTICE, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417944901
- **Authorized official:** DAVID A DIAZ M.D. (PRESIDENT)
- **Authorized official phone:** (512) 246-3338

## Contact information

- **Practice address:** 15930 S GREAT OAKS DR, A-200, ROUND ROCK, TX 78681-5526
- **Practice address phone:** (512) 246-3338
- **Practice address fax:** (512) 246-3368
- **Mailing address:** 15930 S GREAT OAKS DR, A-200, ROUND ROCK, TX 78681-5526
- **Mailing address phone:** (512) 246-3338
- **Mailing address fax:** (512) 246-3368

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | J1080 | TX | Yes |

## Other

- **Enumeration date:** 09/30/2005
- **Last updated:** 08/08/2014