Organization
SPECIALTY PHYSICIANS OF CENTRAL TEXAS
Active
Organization
SPECIALTY PHYSICIANS OF CENTRAL TEXAS
Active
Other names
Live Oak Health Partners
Organization subpart
No
Provider details
NPI number
Authorized official
BRENT HASTINGS (ADMINISTRATOR)
(512) 753-3728
Entity
Organization
Contact information
Practice address
1340 WONDER WORLD DR STE 4301, SAN MARCOS, TX 78666-7695
(512) 353-6400
(512) 353-3039
Mailing address
1340 WONDER WORLD DR STE 4301, SAN MARCOS, TX 78666-7695
(512) 353-6400
(512) 353-3039
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
KL4732
TX
Other
Enumeration date
07/10/2007
Last updated
03/06/2020
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