Organization
LIVE OAK EMERGENCY PHYSICIANS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN KONDAS (OFFICER)
(973) 251-1132
Entity
Organization
Contact information
Practice address
1011 N GALLOWAY AVE, MESQUITE, TX 75149-2433
(469) 401-2386
Mailing address
PO BOX 99102, LAS VEGAS, NV 89193-9085
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
10/29/2018
Last updated
04/12/2021
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