MEDICARE: LIVE OAK ANESTHESIA, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207L00000X	Anesthesiology Physician

General Provider Information

NPI Number	:	1285295410
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIVE OAK ANESTHESIA, PLLC

Provider Business Mailing Address
First Line	:	13101 PRESTON RD # 110648
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75240-5237
Country	:	US
Telephone Number	:	512-422-0633
Fax Number	:	469-802-0070

Provider Business Practice Location Address
First Line	:	13101 PRESTON RD # 110648
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75240-5237
Country	:	US
Telephone Number	:	512-422-0633
Fax Number	:

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	JEFFERY M FRITZ
Credential	:
Telephone Number	:	214-980-9400

Provider Enumeration Date	:	06/27/2019
Last Update Date	:	02/16/2026

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Directions to “LIVE OAK ANESTHESIA, PLLC ” Practice Location

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