Organization Active NPI

Live Oak Family Health, P.a.

  • Family Medicine Physician
  • Seguin, TX
National Provider Identifier
1861719239
Registry record updated Dec 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
N3335 Issued in TX
Legal business name
LIVE OAK FAMILY HEALTH, P.A.
Practice address
205 N King St
Ste 200
Seguin, TX 78155-5836
Phone
(830) 379-5200
Fax
(830) 379-5201
NPI assigned
Apr 26, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2015

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

Authorized official

Name
Linda Jane Sullivan, D.O.
Title
Owner
Phone
(830) 379-5200

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X N3335 TX Primary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X E6077 TX

Addresses

Primary practice location

205 N King St
Ste 200
Seguin, TX 78155-5836

Mailing address

205 N King St
Ste 200
Seguin, TX 78155-5836
Phone (830) 379-5200

National Provider Directory

National Provider Directory

Locations

205 N King St
Ste 200
Seguin, TX 78155
Phone (830) 379-5200

1417 E Walnut St
Ste 600
Seguin, TX 78155
Phone (830) 379-5200

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1272240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449014400000",
    "number": "1861719239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 N KING ST",
            "address_2": "STE 200",
            "city": "SEGUIN",
            "state": "TX",
            "postal_code": "781555836",
            "telephone_number": "830-379-5200",
            "fax_number": "830-379-5201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 N KING ST",
            "address_2": "STE 200",
            "city": "SEGUIN",
            "state": "TX",
            "postal_code": "781555836",
            "telephone_number": "830-379-5200",
            "fax_number": "830-379-5201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVE OAK FAMILY HEALTH, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-26",
        "last_updated": "2015-12-02",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "830-379-5200",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "N3335",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "E6077",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seguin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2015; 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.