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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