Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Great Oaks Family Practice, PA

Organization Family Medicine Physician · NPI 1417944901

Great Oaks Family Practice, PA provides Family Medicine Physician services 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 Not confirmed with CMS for 12 years — call before visiting
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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