Pro Physicians Clinic, Pa

LBN: Pro Physicians Clinic, Pa
Pro Physicians Clinic, Pa is an health care organization with primary practice located at 12705 Toepperwein Rd , Live Oak TX 78233-3257. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as the primary health care specialty. Pro Physicians Clinic, Pa can be contacted via phone (210) 816-4770, or through Tryggestad, Jon D via phone (817) 886-8730.

Contact Information

Primary practice address
12705 Toepperwein Rd Live Oak TX 78233-3257
Phone: (210) 816-4770
Fax: (210) 816-4771
Website:
Map and Directions
Authorized official contact:
Name: Tryggestad, Jon D
Phone: (817) 886-8730

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X

Profile Details

NPI number 1821229717
LBN Legal business name Pro Physicians Clinic, Pa
DBA Doing business as Pro Physicians Clinic, Pa
Authorized official Tryggestad, Jon D
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 27th, 2009
Last updated Feb 25th, 2019 - about 5 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 1821229717 NPPES
Texas Other 0A3406 MEDICARE PTAN

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