OrganizationActive
Live Oak Emergency Physicians PLLC
NPI 1750872107 · Emergency Medicine Physician · Southlake, TX
Provider details
- NPI number
- 1750872107
- Entity type
- Organization
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kathleen Kondas, Officer(973) 251-1132
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
421 E State Highway 114
Southlake, TX 76092-3635
Phone: (469) 401-2386
Approximate (ZIP-level) locationGet directions
Mailing address
13737 Noel Rd Ste 1600
Dallas, TX 75240-1374
Registry dates
- Enumerated
- 2018-05-22
- Last updated
- 2021-04-12
- Certified
- 2021-04-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.