Live Oak Emergency Physicians Pllc

NPI #1750872107 in Southlake, Texas

Provider Information

NPI Number
1750872107
Entity Type
Organization
Organization Name
Live Oak Emergency Physicians Pllc
Primary Specialty
Emergency Medicine
Enumeration Date
May 22, 2018
Last Updated
Apr 12, 2021

Practice Location

Address
421 E STATE HIGHWAY 114
State
Texas
ZIP Code
76092-3635
Phone
(469) 401-2386

Authorized Official

Name
KATHLEEN KONDAS
Title
OFFICER
Phone
(973) 251-1132

Specialties & Taxonomy Codes

Specialty
Emergency Medicine

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