Organization
LIVINGSTON PHYSICIAN SERVICES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL PAWLOWSKI MD (PRESIDENT)
(800) 893-9698
Entity
Organization
Contact information
Practice address
1717 HIGHWAY 59 LOOP N, LIVINGSTON, TX 77351-5703
(936) 329-8700
Mailing address
200 CORPORATE BLVD, SUITE 201, LAFAYETTE, LA 70508-3870
(800) 893-9698
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
07/11/2011
Last updated
10/05/2011
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