Specialty Physicians of Central Texas
Organization Active NPI Multi-Specialty Clinic/Center · San Marcos, TX
NPI 1104024280 · NPPES record last updated Mar 6, 2020
Key facts
- NPI
- 1104024280
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Multi-Specialty Clinic/Center 261QM1300X
- License
- KL4732 (TX)
- Legal business name
- SPECIALTY PHYSICIANS OF CENTRAL TEXAS
- 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
- Organization subpart
- No
Authorized official
- Name
- Brent Hastings
- Title
- Administrator
- Phone
- (512) 753-3728
Member of 1
Practitioners 9
-
Amanda Louise Tam, PA-C
-
Hassan M Alissa, MD
-
Kelli Stringer House, M.A.
-
Timothy J Shaw, M.D.
-
Sharon D Wright, FNP- C
-
Michael J Diclemente, M.D.
National Provider Directory
Locations
950 Ranch Road 2325
Wimberley, TX 78676
Phone (512) 382-4009
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | KL4732 | TX | Yes |
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
- Live Oak Health Partners
Other providers in San Marcos, TX
- Lisa Annette Soto
- South Austin Endocrinology and Obesity Clinic PLLC
- South Austin Orthopaedic Clinic PA
- Southwest Family Medicine, P.a.
- Sparrows Counseling
- Spectrum Plasma Inc
- Speech Therapy Associates PLLC
- Jon Spencer
- Kathy L Spraggins
- Gary Springer
All providers in San Marcos, TX · Multi-Specialty Clinic/Center in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 6, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.