| NPI | 1205349040 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2017-11-15 |
| Last Updated | 2025-09-02 |
| Authorized Official | Derin Patel Medical Doctor / Owner Phone: 2107426555 |
| Mailing Address | 12881 N Ih 35 Live Oak, TX 78233-2966 United States Phone: (210) 742-6555 | Fax: (224) 623-0079 📍 View Map |
| Primary Practice Address | 12410 Toepperwein Rd Live Oak, TX 78233-3230 United States Phone: (210) 742-6555 | Fax: (224) 623-0079 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| Other (non-Medicare) | TX | ========= | TIN |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 213E00000X – Podiatrist | - | - |
| Yes | 207R00000X – Internal Medicine | - | - |
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About NPI 1205349040
Hillside Primary Care Pllc is an organization registered in the CMS NPPES NPI Registry with NPI number 1205349040. The primary specialty listed is Internal Medicine. The organization is located in Live Oak, TX. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2017-11-15. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1205349040?
NPI 1205349040 belongs to Hillside Primary Care Pllc, a Internal Medicine in Live Oak, TX. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1205349040 active?
The current status of NPI 1205349040 in the NPPES registry is Active. The record was last updated on 2025-09-02.
What specialty is NPI 1205349040?
NPI 1205349040 is classified under the taxonomy Internal Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1205349040?
You can verify NPI 1205349040 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1205349040?
The primary practice address on file for NPI 1205349040 is 12410 Toepperwein Rd, Live Oak, TX 78233-3230. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1205349040 issued?
NPI 1205349040 was first issued (enumerated) on 2017-11-15. The NPPES record was last updated on 2025-09-02.
Practice Location Map
Hillside Primary Care Pllc is located at 12410 Toepperwein Rd, Live Oak, TX. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Hillside Primary Care Pllc. All records sourced from the CMS NPPES registry.