Organization
THE LIVINGSTON AGENCY, PLLC
Active
Other names
Sanctum Med
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA A. SHEPHERD MD (MANAGING MEMBER)
(972) 248-9455
Entity
Organization
Contact information
Practice address
16970 DALLAS PKWY STE 500, DALLAS, TX 75248-1983
(972) 248-9455
(972) 312-1990
Mailing address
16970 DALLAS PKWY STE 500, DALLAS, TX 75248-1983
(972) 248-9455
(972) 312-1990
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
—
—
Other
Enumeration date
01/29/2020
Last updated
12/22/2020
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