Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Great Oaks Family Practice, PA

Organization Family Medicine Physician · NPI 1417944901

Great Oaks Family Practice, PA is a Family Medicine Physician in Round Rock, Texas. Licensed in Texas. Registered with an NPI since 2005.

Licensed in
TX
In the registry since
2005
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

15930 S Great Oaks Dr A-200
Round Rock, TX 78681-5526
Phone: (512) 246-3338
Fax: (512) 246-3368
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence J1080 (TX)

Record details

NPI number1417944901
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Diaz — President · (512) 246-3338
NPI enumeratedSeptember 30, 2005
Last updated in NPPESAugust 8, 2014
Mailing address15930 S Great Oaks Dr, A-200, Round Rock, TX 78681-5526

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