Provider Demographics
NPI:1881933687
Name:SEVEN OAKS FAMILY MEDICINE, PA
Entity type:Organization
Organization Name:SEVEN OAKS FAMILY MEDICINE, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOE
Authorized Official - Middle Name:WAYNE
Authorized Official - Last Name:MORROW
Authorized Official - Suffix:
Authorized Official - Credentials:D O
Authorized Official - Phone:512-260-2777
Mailing Address - Street 1:715 DISCOVERY BLVD STE 112
Mailing Address - Street 2:P O BOX 3909
Mailing Address - City:CEDAR PARK
Mailing Address - State:TX
Mailing Address - Zip Code:78613-2295
Mailing Address - Country:US
Mailing Address - Phone:512-260-2777
Mailing Address - Fax:512-259-5777
Practice Address - Street 1:715 DISCOVERY BLVD,STE 112
Practice Address - Street 2:
Practice Address - City:CEDAR PARK
Practice Address - State:TX
Practice Address - Zip Code:78613
Practice Address - Country:US
Practice Address - Phone:512-260-2777
Practice Address - Fax:512-259-5777
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-14
Last Update Date:2013-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH4566207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty