| Live Oak Health Partners | |
|
1340 Wonder World Dr Ste 4301 San Marcos TX 78666-7695 | |
| (512) 353-6400 | |
| (512) 353-3039 |
| Full Name | Live Oak Health Partners |
|---|---|
| Speciality | Clinic/Center |
| Location | 1340 Wonder World Dr Ste 4301, San Marcos, Texas |
| Authorized Official Name and Position | Brent Hastings (ADMINISTRATOR) |
| Authorized Official Contact | 5127533728 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Live Oak Health Partners 1340 Wonder World Dr Ste 4301 San Marcos TX 78666-7695 Ph: (512) 353-6400 | Live Oak Health Partners 1340 Wonder World Dr Ste 4301 San Marcos TX 78666-7695 Ph: (512) 353-6400 |
| NPI Number | 1104024280 |
|---|---|
| Provider Enumeration Date | 07/10/2007 |
| Last Update Date | 03/06/2020 |
| Medicare PECOS PAC ID | 1052495876 |
|---|---|
| Medicare Enrollment ID | O20080303000500 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104024280 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | KL4732 (Texas) | Primary |
| Provider Name | Traci E Forrest |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1295755965 PECOS PAC ID: 6901857911 Enrollment ID: I20050208000265 |
| Provider Name | Jessica Camille Sanders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154447852 PECOS PAC ID: 1557398377 Enrollment ID: I20050725000179 |
| Provider Name | Robert R Duran |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1053317297 PECOS PAC ID: 3971674698 Enrollment ID: I20080624000035 |
| Provider Name | Dana R Bourke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356591432 PECOS PAC ID: 0446312623 Enrollment ID: I20090105000202 |
| Provider Name | Rebecca Shively |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508920935 PECOS PAC ID: 4587721568 Enrollment ID: I20090318000318 |
| Provider Name | Jesus N Sahad |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1346333283 PECOS PAC ID: 2567504624 Enrollment ID: I20100127000794 |
| Provider Name | Bryan Hambric |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1811047954 PECOS PAC ID: 0042366999 Enrollment ID: I20110203000545 |
| Provider Name | Eric W Price |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558378893 PECOS PAC ID: 0244411866 Enrollment ID: I20110301001076 |
| Provider Name | Michael Montgomery Blair |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1104037100 PECOS PAC ID: 7113191479 Enrollment ID: I20111122000866 |
| Provider Name | Ouida M Lacey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689912909 PECOS PAC ID: 2365685419 Enrollment ID: I20130821000688 |
| Provider Name | Jamilla C Stone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932337029 PECOS PAC ID: 1052568102 Enrollment ID: I20131108001448 |
| Provider Name | Michael J Benca |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1588774061 PECOS PAC ID: 7618000779 Enrollment ID: I20140513000216 |
| Provider Name | Nicole A Riojas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598050676 PECOS PAC ID: 4688899115 Enrollment ID: I20140625002107 |
| Provider Name | Stephen G Richardson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992020440 PECOS PAC ID: 7214156009 Enrollment ID: I20140909001961 |
| Provider Name | Anna White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134370257 PECOS PAC ID: 4284950189 Enrollment ID: I20150312001737 |
| Provider Name | Amy Hernandez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659631901 PECOS PAC ID: 9335451319 Enrollment ID: I20150706000240 |
| Provider Name | Megan A Juarez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952798779 PECOS PAC ID: 2264746684 Enrollment ID: I20150729009577 |
| Provider Name | Darcy D Sammons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093199325 PECOS PAC ID: 2062729072 Enrollment ID: I20150923000761 |
| Provider Name | Risa Curtis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952691438 PECOS PAC ID: 8123279577 Enrollment ID: I20160427000787 |
| Provider Name | Gilbert Rodriguez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366853210 PECOS PAC ID: 2365732518 Enrollment ID: I20160601000761 |
| Provider Name | Christopher Jimenez |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1700013398 PECOS PAC ID: 3870725872 Enrollment ID: I20160720000387 |
| Provider Name | Aminatu Akande |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104265032 PECOS PAC ID: 3072757897 Enrollment ID: I20170717000543 |
| Provider Name | Henry Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801398235 PECOS PAC ID: 0042572448 Enrollment ID: I20180718003595 |
| Provider Name | Connie Pham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073967584 PECOS PAC ID: 8820332075 Enrollment ID: I20190801002678 |
| Provider Name | Allison Leigh Royal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124619424 PECOS PAC ID: 5395147474 Enrollment ID: I20210712003611 |
| Provider Name | Nadia Samari |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932787694 PECOS PAC ID: 1456759612 Enrollment ID: I20211004000069 |
Texas State University Student Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 298 Student Center Drive, San Marcos, TX 78666 Phone: 512-245-2161 Fax: 512-245-3918 | |
Southwest Family Medicine, P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 132 Jackson Ln, San Marcos, TX 78666 Phone: 512-393-3325 Fax: 512-393-3328 | |
South Austin Endocrinology And Obesity Clinic Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1340 Wonder World Dr Ste 2203, San Marcos, TX 78666 Phone: 512-969-8991 Fax: 512-982-6186 | |
My Primary Care Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1346 Thorpe Ln, San Marcos, TX 78666 Phone: 512-392-7800 | |
Central Texas Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2005 Medical Pkwy, Suite C, San Marcos, TX 78666 Phone: 512-396-3911 Fax: 512-353-0807 | |
Corridor Primary Care, Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1320 Wonder World Dr Ste 101, San Marcos, TX 78666 Phone: 512-392-1700 Fax: 512-396-8743 |