Organization Active NPI

Specialty Physicians of Central Texas

Doing business as Live Oak Health Partners

  • Multi-Specialty Clinic/Center
  • San Marcos, TX
National Provider Identifier
1104024280
Registry record updated Mar 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
License
KL4732 Issued in TX
Legal business name
SPECIALTY PHYSICIANS OF CENTRAL TEXAS
Doing business as
Live Oak Health Partners
Practice address
1340 Wonder World Dr Ste 4301
San Marcos, TX 78666-7695
Phone
(512) 353-6400
Fax
(512) 353-3039
NPI assigned
Jul 10, 2007
Last updated
Mar 6, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Brent Hastings
Title
Administrator
Phone
(512) 753-3728

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X KL4732 TX Primary

Addresses

Primary practice location

1340 Wonder World Dr Ste 4301
San Marcos, TX 78666-7695

Mailing address

1340 Wonder World Dr Ste 4301
San Marcos, TX 78666-7695
Phone (512) 353-6400

Other practice location 1

1320 Wonder World Dr Ste 101
San Marcos, TX 78666-7558
Phone (512) 396-3911

Other names 1

  • Live Oak Health Partners Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

2001 Medical Pkwy
Ste C
San Marcos, TX 78666
Phone (512) 360-8144

401 Broadway St
San Marcos, TX 78666
Phone (512) 393-5520

950 Ranch Road 2325
Wimberley, TX 78676
Phone (512) 382-4009

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583452800000",
    "number": "1104024280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 WONDER WORLD DR STE 4301",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786667695",
            "telephone_number": "512-353-6400",
            "fax_number": "512-353-3039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 WONDER WORLD DR STE 4301",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786667695",
            "telephone_number": "512-353-6400",
            "fax_number": "512-353-3039"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1320 Wonder World Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "San Marcos",
            "state": "TX",
            "postal_code": "786667558",
            "country_code": "US",
            "telephone_number": "512-396-3911",
            "fax_number": "512-353-0807",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SPECIALTY PHYSICIANS OF CENTRAL TEXAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-10",
        "last_updated": "2020-03-06",
        "certification_date": "2020-03-06",
        "status": "A",
        "authorized_official_last_name": "HASTINGS",
        "authorized_official_first_name": "BRENT",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "512-753-3728"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "TX",
            "license": "KL4732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Live Oak Health Partners",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Live Oak Health Partners",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Marcos, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.