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Individual

DR. WILLIAM SCOTT LIVESAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DR MD

Contact information

Practice address
405 LONDONDERRY DR, SUITE 203, WACO, TX 76712-7924
(254) 772-5855
Mailing address
405 LONDONDERRY DR, SUITE 203, WACO, TX 76712-7924
(254) 772-5855

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
D9548
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
032982301
TX
Enumeration date
10/13/2006
Last updated
06/29/2009
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