Great Oaks Family Practice, Pa

NPI 1417944901 - Family Medicine - 207Q00000X

NPI Details
NPI 1417944901
Enumeration Date 09/30/2005
Last Updated 08/08/2014
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name DAVID A DAVID
Position PRESIDENT
Phone (512) 246-3338
Fax (512) 246-3368
Practice Location
15930 S GREAT OAKS DR
A-200
ROUND ROCK TX, 78681-5526, US
Phone (512) 246-3338
Fax (512) 246-3368
Business Location
15930 S GREAT OAKS DR
A-200
ROUND ROCK TX, 78681-5526, US
Phone (512) 246-3338
Fax (512) 246-3368
Toxanomy
Taxonomy Code 207Q00000X
License State Texas
License Number J1080
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According to our database, Great Oaks Family Practice, Pa NPI is 1417944901, taxonomy code is 207Q00000X and license number is J1080, license state is located at Texas. Great Oaks Family Practice, Pa physically located at 15930 S Great Oaks Dr, Round Rock TX, 78681-5526. NPI Number 1033115704 has the healthcare provider type.

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1417944901 NPI number is provided on an as is basis without warranty of any kind. 1417944901 is maintained by the National Plan & Provider Enumeration System. The contents of Great Oaks Family Practice, Pa are for informational purposes only.