Organization
JEFF LIVINGSTON MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF LIVINGSTON MD PA (PRESIDENT)
(972) 256-3700
Entity
Organization
Contact information
Practice address
3501 N MACARTHUR BLVD, STE 500, IRVING, TX 75062-3636
(972) 256-3700
(972) 258-9887
Mailing address
3501 N MACARTHUR BLVD, STE 500, IRVING, TX 75062-3636
(972) 256-3700
(972) 258-9887
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
L4043
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0082QP
BLUE CROSS BLUE SHIELD
TX
05
—
196058501
—
TX
Enumeration date
08/20/2006
Last updated
11/18/2008
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