Great Oaks Family Practice, PA
NPI 1417944901ActiveOrganization· Family Medicine· Round Rock, TX
Family Medicine in Round Rock, Texas, registered in NPPES in September 2005. The authorized official on file is David A. Diaz, M.D., President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1417944901 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 30, 2005 |
| Last updated in NPPES | Aug 8, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | J1080 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (TX) |
|---|
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