MEDICARE: CHRISTOPHER K 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
1	2086S0105X	Surgery of the Hand (Surgery) Physician	K4735	TX
2	2086S0122X	Plastic and Reconstructive Surgery Physician	K4735	TX

General Provider Information

NPI Number	:	1518999135
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER K LIVINGSTON M.D.

Provider Business Mailing Address
First Line	:	6410 FANNIN ST STE 927
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-5204
Country	:	US
Telephone Number	:	713-797-0085
Fax Number	:	713-797-0694

Provider Business Practice Location Address
First Line	:	6410 FANNIN ST STE 927
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-5204
Country	:	US
Telephone Number	:	713-797-0085
Fax Number	:	713-797-0694

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/06/2006
Last Update Date	:	10/11/2007

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