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Organization
LIVE OAK FAMILY HEALTH, P.A.
Active
Organization
LIVE OAK FAMILY HEALTH, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA JANE SULLIVAN D.O. (OWNER)
(830) 379-5200
Entity
Organization
Contact information
Practice address
205 N KING ST, STE 200, SEGUIN, TX 78155-5836
(830) 379-5200
(830) 379-5201
Mailing address
205 N KING ST, STE 200, SEGUIN, TX 78155-5836
(830) 379-5200
(830) 379-5201
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
N3335
TX
208000000X
Pediatrics Physician
E6077
TX
Other
Enumeration date
04/26/2010
Last updated
12/02/2015
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