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Conviva Medical Center Management of Texas, P.A.

Internal Medicine Physician in Live Oak, TX · enumerated 2014 · authorized official Jessica Bonetti, Associate Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1770988990

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Registry record

Entity type Organization (Type 2)
Legal business name Conviva Medical Center Management of Texas, P.A.
Practice address 12602 Toepperwein Rd Ste 100, Live Oak, TX, 78233
Phone (210) 654-0030
Fax (855) 278-4550
Enumeration date Oct 30, 2014
Last updated in NPPES Jun 21, 2024

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Secondary
207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians Primary
208D00000X General Practice Physician Allopathic & Osteopathic Physicians Secondary
261QP2300X Primary Care Clinic/Center Ambulatory Health Care Facilities Secondary

Authorized official

Name Jessica Bonetti
Title Associate Director
Phone (786) 507-8556

Other identifiers

Identifier Type State Issuer
350315301 Medicaid TX -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Conviva Medical Center Management of Texas, P.A.?
The NPI for Conviva Medical Center Management of Texas, P.A. is 1770988990, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Conviva Medical Center Management of Texas, P.A.?
NPPES lists Jessica Bonetti (Associate Director) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-06-21.