Individual
THOMAS S LIVINGSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
815 PENNSYLVANIA AVE, FORT WORTH, TX 76104-2224
(817) 321-0404
(817) 317-7033
Mailing address
816 W CANNON ST, FORT WORTH, TX 76104-3146
(817) 321-0404
(817) 317-7033
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
G3565
TX
2085R0202X
Diagnostic Radiology Physician
Primary
G3565
TX
2085R0204X
Vascular & Interventional Radiology Physician
G3565
TX
2085U0001X
Diagnostic Ultrasound Physician
G3565
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103939801
—
TX
Enumeration date
03/31/2006
Last updated
11/06/2018
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