SPECIALTY PHYSICIANS OF CENTRAL TEXAS (NPI# 1104024280) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104024280 |
| Entity Type | Organization |
| Organization Name | SPECIALTY PHYSICIANS OF CENTRAL TEXAS |
| Other Organization Name | LIVE OAK HEALTH PARTNERS |
| Practice Address |
1340 Wonder World Dr Ste 4301 San Marcos TX 78666-7695 |
| Practice Telephone | 5123536400 |
| Practice Fax Number | 5123533039 |
| Mailing Telephone | 5123536400 |
| Mailing Fax Number | 5123533039 |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2020-03-06 |
| Authorized Official Name | BRENT HASTINGS (ADMINISTRATOR) |
| Authorized Official Telephone | 5127533728 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
KL4732 | TX | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Live Oak Health Partners | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1320 Wonder World Dr Ste 101, San Marcos, TX 786667558 | 5123963911 | 5123530807 |
| Street Address |
1340 WONDER WORLD DR STE 4301 |
| City | SAN MARCOS |
| State | TX |
| Zip Code | 78666-7695 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588774061 | Michael John Benca | Internal Medicine | 1340 Wonder World Dr Ste 4301, San Marcos, TX 78666-7695 | 2006-08-30 |
| 1134747934 | Devin Collett | Audiologist | 1340 Wonder World Dr Ste 4301, San Marcos, TX 78666-7695 | 2020-07-08 |
| 1679069819 | John Hayden Holtzclaw | Audiologist | 1340 Wonder World Dr Ste 4301, San Marcos, TX 78666-7695 | 2018-07-10 |
| 1801398235 | Henry Martinez | Nurse Practitioner | 1340 Wonder World Dr Ste 4301, San Marcos, TX 78666-7695 | 2018-03-01 |
| 1467855676 | Leslie Lenhard | Nurse Practitioner | 1340 Wonder World Dr Ste 4301, San Marcos, TX 78666-7695 | 2014-10-01 |
| 1700013398 | Christopher Louis Jimenez | Orthopaedic Surgery | 1340 Wonder World Dr Ste 4301, San Marcos, TX 78666-7695 | 2009-06-22 |
| 1154447852 | Jessica Camille Sanders | Nurse Practitioner | 1340 Wonder World Dr Ste 4301, San Marcos, TX 78666-7695 | 2007-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427656198 | Jodie Lynn Stauffer | Social Worker | 2497 Fm 1979, San Marcos, TX 78666 | 2020-10-14 |
| 1619590965 | Ann Mary Carney | Occupational Therapist | 302 Riverside Dr, San Marcos, TX 78666 | 2020-05-21 |
| 1811510381 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 101 Concho St, San Marcos, TX 78666 | 2020-05-19 |
| 1174157101 | Chase Joseph Gibson | Specialist/Technologist | 616 N Lbj Dr, Beretta Hall 401, San Marcos, TX 78666 | 2020-02-28 |
| 1548800782 | Emily Granger | Specialist/Technologist | 106 Charles Austin Dr, San Marcos, TX 78666 | 2020-01-15 |
| 1689138562 | Joseph Richard Lednicky | Specialist/Technologist | 700 Aquarena Springs Drive, San Marcos, TX 78666 | 2019-01-25 |
| 1376007336 | Viktoria Guerrero | Specialist/Technologist | Jowers Access Rd, San Marcos, TX 78666 | 2019-01-24 |
| 1336611771 | Joan Marie Wood | Occupational Therapist | Cole Pediatric Therapy, 101 Uhland Rd, San Marcos, TX 78666 | 2018-12-26 |
| 1851861496 | Kingfisher Health LLC | Home Health | 125 Mccarty Lane, San Marcos, TX 78666 | 2018-11-27 |
| 1669954723 | Christopher Macha | Student in an Organized Health Care Education/Training Program | 1 Jowers Access Road, San Marcos, TX 78666 | 2018-09-05 |
| Find all providers in zip 78666 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972761120 | Janet Whitney, Do, Mph, Inc. | Clinic/Center | 277 Rancheros Dr, Suite 101, San Marcos, CA 92069-2976 | 2008-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427662667 | Journey To Recovery LLC | Clinic/Center | 2815 W T C Jester Blvd Ste 102, Houston, TX 77018-7049 | 2020-09-04 |
| 1669086963 | Cl Haven Enterprises | Clinic/Center | 4443 Loop 322, Abilene, TX 79602-8056 | 2020-09-03 |
| 1689292773 | Crossover Health Medical Group | Clinic/Center | 1940 Enchanted Way Ste 101, Grapevine, TX 76051-0965 | 2020-07-06 |
| 1053939140 | Crossover Health Medical Group | Clinic/Center | 215 W Camp Wisdom Rd Ste 11, Duncanville, TX 75116-3342 | 2020-07-06 |
| 1598380271 | Hanson Discovery Group LLC | Clinic/Center | 6002 Lofty Ln, Spring, TX 77379-5087 | 2020-06-09 |
| 1770107856 | Vascular Institute of Houston Pllc | Clinic/Center | 815 Brazos St Ste 500, Austin, TX 78701-2509 | 2020-06-03 |
| 1497378988 | Post-acute Care Services, Pllc | Clinic/Center | 5729 Martin Rd Apt 107, Plano, TX 75024-4955 | 2020-05-19 |
| 1407476138 | Summit Emergency Medicine, Pllc | Clinic/Center | 8111 Lbj Fwy Ste 475, Dallas, TX 75251-1386 | 2020-04-22 |
| 1174143002 | Ultimate Pain Solutions, P.l.l.c. | Clinic/Center | 9700 Richmond Ave Ste 120, Houston, TX 77042-4697 | 2020-04-21 |
| 1376163311 | Betts Ventures Inc | Clinic/Center | 13134 Dairy Ashford Rd Ste 900-a, Sugar Land, TX 77478-3756 | 2020-04-20 |
| Find all providers with the same taxonomy | ||||
| City | SAN MARCOS |
| Zip Code | 78666 |
Please comment or provide details below to improve the information on SPECIALTY PHYSICIANS OF CENTRAL TEXAS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.