Great Oaks Family Practice, Pa

LBN: Great Oaks Family Practice, Pa
Great Oaks Family Practice, Pa is an health care organization with primary practice located at 15930 S Great Oaks Dr A-200, Round Rock TX 78681-5526. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Great Oaks Family Practice, Pa can be contacted via phone (512) 246-3338, or through Diaz, David A via phone (512) 246-3338.

Contact Information

Primary practice address
15930 S Great Oaks Dr A-200 Round Rock TX 78681-5526
Phone: (512) 246-3338
Fax: (512) 246-3368
Website:
Map and Directions
Authorized official contact:
Name: Diaz, David A Doctor of Medicine (MD)
Phone: (512) 246-3338

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X J1080 Texas

Profile Details

NPI number 1417944901
LBN Legal business name Great Oaks Family Practice, Pa
DBA Doing business as
Authorized official Diaz, David A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 30th, 2005
Last updated Aug 8th, 2014 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417944901 NPPES
Texas Other J1080 STATE MEDICAL LICENSE

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