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NPI Code Detail

MEDICARE: JEFF LIVINGSTON MD

MEDICARE: JEFF LIVINGSTON MD
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
1207V00000XObstetrics & Gynecology PhysicianL4043TX

General Provider Information

NPI Number : 1518960764
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEFF LIVINGSTON MD
Provider Business Mailing Address
First Line : 3501 N MACARTHUR BLVD
Second Line : STE 500
City : IRVING
State : TX
Zip : 75062-3636
Country : US
Telephone Number : 972-256-3700
Fax Number : 972-258-9887
Provider Business Practice Location Address
First Line : 3501 N MACARTHUR BLVD STE 500
Second Line :
City : IRVING
State : TX
Zip : 75062-3675
Country : US
Telephone Number : 972-256-3700
Fax Number : 866-630-6348
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2005
Last Update Date : 02/22/2023

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Directions to “ JEFF LIVINGSTON MD” Practice Location

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