Live Oak Dialysis

LBN: Sakdc - Davita Dialysis Partners Lp
Live Oak Dialysis is an health care organization with primary practice located at 6700 Randolph Blvd Ste 101, Live Oak TX 78233-4222. The organization recently has only one registered license in Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment, which is considered as the primary health care specialty. Sakdc - Davita Dialysis Partners Lp can be contacted via phone (210) 590-0103, or through Wey, Samuel via phone (615) 341-6641.

Contact Information

Primary practice address
6700 Randolph Blvd Ste 101 Live Oak TX 78233-4222
Phone: (210) 590-0103
Fax: (210) 590-0813
Website:
Map and Directions
Authorized official contact:
Name: Wey, Samuel
Phone: (615) 341-6641

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment 261QE0700X

Profile Details

NPI number 1821052507
LBN Legal business name Sakdc - Davita Dialysis Partners Lp
DBA Doing business as Live Oak Dialysis
Authorized official Wey, Samuel
Entity Organization
Organization subpart 1 No
Enumeration date Apr 12th, 2006
Last updated Jan 15th, 2024 - about 10 months 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 1821052507 NPPES
Texas MEDICAID 181223204

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