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NPI Code Detail

MEDICARE: CHARLES DUNCAN LIVINGSTON M.D.

MEDICARE: CHARLES DUNCAN LIVINGSTON M.D.
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
1208600000XSurgery PhysicianE6479TX

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10043AKOTHERTXMEDICARE P-TIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1073545760
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHARLES DUNCAN LIVINGSTON M.D.
Provider Business Mailing Address
First Line : 3901 MEDICAL PKWY
Second Line : SUITE 200
City : AUSTIN
State : TX
Zip : 78756-4027
Country : US
Telephone Number : 512-467-7151
Fax Number : 512-467-8809
Provider Business Practice Location Address
First Line : 3901 MEDICAL PKWY
Second Line : SUITE 200
City : AUSTIN
State : TX
Zip : 78756-4027
Country : US
Telephone Number : 512-467-7151
Fax Number : 512-467-8809
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/06/2006
Last Update Date : 06/27/2016

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Directions to “ CHARLES DUNCAN LIVINGSTON M.D.” Practice Location

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