What is Audrey Lively's NPI number?

The NPI number assigned to this healthcare provider is 1396027306, enumerated as a individual on September 15, 2011.

Where is the provider located?

The provider is located at 6414 FANNIN ST STE G150 HOUSTON, TX 77030 and the phone number is (713) 486-7515.

What is the provider's specialty?

The provider's specialty is Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.

AUDREY C LIVELY PA-C - NPI 1396027306 - Physician Assistant in Houston, TX

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About Audrey C Lively Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AUDREY C LIVELY PA-C (NPI 1396027306) is an individual surgical provider in Houston, Texas, licensed in Texas (PA07450) and active in the NPI registry since September 2011.

NPPES Registry Identity

NPI1396027306

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameAUDREY C LIVELYCredential: PA-C

Location Address6414 FANNIN ST STE G150Houston, TX 77030-1514

Mailing Address6400 Fannin St Ste 1700Houston, TX 77030-1526 · (713) 486-6998

Phone(713) 486-7515

Sole ProprietorNo

Enumeration DateSeptember 15, 2011

Last NPPES UpdateOctober 22, 2018

✔ NPI 1396027306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in TX · PA07450

6414 FANNIN ST STE G150, Houston, TX 77030

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MARK L PRASARN MD

Orthopaedic Surgery