LIVE OAK PEDIATRICS, PA (NPI# 1992905525) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1992905525 |
Entity Type | Organization |
Organization Name | LIVE OAK PEDIATRICS, PA |
Practice Address |
12702 Toepperwein Rd Ste 132 Live Oak TX 78233-3278 |
Practice Telephone | 2105996251 |
Practice Fax Number | 2105996254 |
Mailing Telephone | 2105996251 |
Mailing Fax Number | 2105996254 |
Enumeration Date | 2007-07-23 |
Last Update Date | 2007-07-23 |
Authorized Official Name | DR. JESUS LUIS RODRIGUEZ III (DIRECTOR, LIVE OAK PEDIATRICS) |
Authorized Official Telephone | 2105996251 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
UPIN | I15074 | 01 |
Street Address |
12702 TOEPPERWEIN RD STE 132 |
City | LIVE OAK |
State | TX |
Zip Code | 78233-3278 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720011430 | Graciela Patricia Spencer | Physician Assistant | 12702 Toepperwein Rd, Ste. 120, Live Oak, TX 78233-3278 | 2006-07-08 |
1316409816 | Maria Dejesus Ortiz | Counselor | 12702 Toepperwein Rd, Live Oak, TX 78233-3278 | 2019-04-03 |
1720536253 | Emerge Counseling and Coaching Services | Counselor | 12702 Toepperwein Rd, Suite 218, Live Oak, TX 78233-3278 | 2016-09-13 |
1811270556 | Keith Aaron Jones | Physical Therapist | 12702 Toepperwein Rd, Suite 104, Live Oak, TX 78233-3278 | 2011-09-20 |
1528294469 | Lucien Adrien Morin | Technician, Other | 12702 Toepperwein Rd, Live Oak, TX 78233-3278 | 2009-06-05 |
1093940702 | Eye Management, LLC | Durable Medical Equipment & Medical Supplies | 12702 Toepperwein Rd, Suite 121, Live Oak, TX 78233-3278 | 2009-05-26 |
1386829877 | Reginal D Harris | Pharmacist | 12702 Toepperwein Rd, Suite 207, Live Oak, TX 78233-3278 | 2008-01-03 |
1659491348 | Sarah R Cook | Physical Therapist | 12702 Toepperwein Rd, Suite 104, Live Oak, TX 78233-3278 | 2007-03-29 |
1255450656 | James Earl Ross Jr. | Emergency Medicine | 12702 Toepperwein Rd, Suite 140, Live Oak, TX 78233-3278 | 2007-03-28 |
1063553998 | Oaks Pharma LLC | Pharmacy | 12702 Toepperwein Rd, Suite 101, Live Oak, TX 78233-3278 | 2007-02-12 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477162451 | Jennifer Chaghoury | Chore Provider | 4606 La Marquesa St, San Antonio, TX 78233 | 2020-07-27 |
1912515719 | Creative Health Care Management, LLC | Physical Therapist | 4415 Rio D'oro St, San Antonio, TX 78233 | 2020-07-17 |
1841822749 | Edilma Yosmara Medrano | Nurse's Aide | 209 Goforth Drive, San Antonio, TX 78233 | 2020-02-07 |
1578194411 | Jorge Javier Jaramillo De La Torre | Neurological Surgery | Cuauhtemoc 380, Col. Moderna, San Luis Potosi, SLP 78233 | 2020-01-29 |
1174182000 | Shenila Rajani Od Pllc | Optometrist | 12349 I-35, San Antonio, TX 78233 | 2019-06-13 |
1659935609 | Mff Amber Oaks LLC | Assisted Living Facility | 4415 Rio Doro St., San Antonio, TX 78233 | 2019-04-25 |
1457862302 | Antoinette Marie Powell | Massage Therapist | 14615 Interstate 35 N, Live Oak, TX 78233 | 2017-10-18 |
1154852150 | Dustin William Koenning | Pharmacist | 6019 Randolph Blvd., San Antonio, TX 78233 | 2017-03-22 |
1316481153 | U S Anesthesia Partners of Texas, Pa | Physician Assistant | 12602 Toepperwein Rd Ste 218, Live Oak, TX 78233 | 2016-12-13 |
1477096121 | Vanessa's Garden of Hope Assisted Living,llc | Assisted Living Facility | 4350 Shallow Water, San Antonio, TX 78233 | 2016-11-29 |
Find all providers in zip 78233 |
Taxonomy Code | 261QP2300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336499177 | Concentra Primary Care Pa | Clinic/Center | 12413 Judson Road, Live Oak, TX 75233-3202 | 2012-09-19 |
1144475823 | Horizon Pediatrics, LLC | Clinic/Center | 611 Demorest St Se, Live Oak, FL 32064-3322 | 2008-11-24 |
1770988990 | Partners In Primary Care, Pa | Clinic/Center | 12602 Toepperwein Rd Ste 100, Live Oak, TX 78233-3204 | 2014-10-30 |
1386826634 | David Ochoa, M.d.,p.a. | Clinic/Center | 11485 Toepperwein Rd, Ste. 1, Live Oak, TX 78233-3143 | 2007-11-28 |
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1821696253 | Bio Drip, LLC | Clinic/Center | 935 Sunland Park Dr Ste 103, El Paso, TX 79922-1369 | 2020-10-16 |
1821696386 | Blue Ocean Health Services LLC | Clinic/Center | 105 Clariden Ranch Rd, Southlake, TX 76092-1947 | 2020-10-15 |
1982202800 | Devoted Medical Group of Texas, Inc. | Clinic/Center | 20405 State Highway 249 Ste 325, Houston, TX 77070-2893 | 2020-10-13 |
1891392437 | Blum Health Pllc | Clinic/Center | 1387 George Dieter Dr Ste 106d, El Paso, TX 79936-7410 | 2020-10-06 |
1902403769 | Apogee Health Promotions | Clinic/Center | 105 Cottage Rd # B, Carthage, TX 75633-1507 | 2020-10-05 |
1447857255 | Fairgrounds Family Clinic Pllc | Clinic/Center | 4505 Hummingbird Ln N, Harlingen, TX 78552-2422 | 2020-10-05 |
1508463605 | Kk Martinez & Associates LLC | Clinic/Center | 13180 Fm 529 Rd Ste A, Houston, TX 77041-2652 | 2020-10-02 |
1659987022 | Specialists In Geriatric and Palliative Care Medicine Pllc | Clinic/Center | 8198 Walnut Hill Lane, Jackson Bldg, Suite 100, Dallas, TX 75231 | 2020-09-21 |
1518573443 | Elizabeth Danielle Benavides | Clinic/Center | 1424 Tanager Ct, San Antonio, TX 78260-2455 | 2020-09-16 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.