Live Oak Pediatrics, PA

NPI #1992905525 in Live Oak, Texas

Provider Information

NPI Number: 1992905525
Entity Type: Organization
Organization Name: Live Oak Pediatrics, PA
Primary Specialty: Clinic/Center - Primary Care
Enumeration Date: Jul 23, 2007
Last Updated: Jul 23, 2007

Practice Location

Address: 12702 TOEPPERWEIN RD
Address 2: STE 132
City: Live Oak
State: Texas
ZIP Code: 78233-3278
Phone: (210) 599-6251

Authorized Official

Name: DR. JESUS LUIS RODRIGUEZ III, MD
Title: DIRECTOR, LIVE OAK PEDIATRICS
Phone: (210) 599-6251

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Primary Care — Primary Care	261QP2300X	Primary

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