Organization · Type 2 NPI
Live Oak Psychiatric and Family Practice, PLLC
Psychiatric/Mental Health Nurse Practitioner · San Antonio, TX
NPI number
1003579913
Active
Practice location
1100 NW Loop 410
San Antonio, TX 78213-2263
Mailing address
11230 Forest Pass Ct
Live Oak, TX 78233-7236
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician | 207Q00000X | None listed |
| Psychiatry Physician | 2084P0800X | None listed |
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | None listed |
| Multi-Specialty Clinic/Center | 261QM1300X | None listed |
| Primary Care Clinic/Center | 261QP2300X | None listed |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
| Primary Care Nurse Practitioner | 363LP2300X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1003579913
Live Oak Psychiatric and Family Practice, PLLC's National Provider Identifier is 1003579913, issued on Oct 18, 2021. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in San Antonio, TX. The record was last updated on Jan 13, 2022.