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Organization

SELVAGGI INVESTMENTS

Active
Other names
Live Oak Professional Center
Organization subpart
No

Provider details

NPI number
Authorized official
SUE NIXSON (OFFICE MANAGER)
(903) 886-8818
Entity
Organization

Contact information

Practice address
1705 LIVE OAK ST, COMMERCE, TX 75428-2551
(903) 886-8818
(903) 886-8765
Mailing address
1705 LIVE OAK ST, COMMERCE, TX 75428-2551
(903) 886-8818
(903) 886-8765

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
H0803
TX
208D00000X
General Practice Physician
K6628
TX
261QR1300X
Rural Health Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
111557802
TX
Enumeration date
11/18/2005
Last updated
04/05/2023
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