person
Audrey C Lively, PA-C
Surgical Physician Assistant in Houston, Texas
NPI 1396027306

Audrey C Lively is a Surgical Physician Assistant based in Houston, TX and is specialized in Surgical. Audrey C Lively practices in Houston, TX and has the professional credentials of PA-C. The NPI Number for Audrey C Lively is 1396027306 and holds a License No. PA07450 (Texas).

The current practice location address for Audrey C Lively is 6414 Fannin St Ste G150, Houston, TX and can be reached out via phone at 713-486-7515.

Location: 6414 Fannin St Ste G150, Houston, TX, 77030-1526
person
Provider Profile Details
NPI Number
1396027306
Provider Name
Audrey C Lively
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
6414 Fannin St Ste G150, Houston, TX, 77030-1526
Phone Number
713-486-7515
Fax Number
Provider Enumeration Date
09/15/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
6414 Fannin St Ste G150
City
State
Zip
77030-1514
Phone Number
713-486-7515
Fax Number
person
Provider Business Mailing Address Details
Address
6414 Fannin St Ste G150
City
State
Zip
77030-1514
Phone Number
713-486-7515
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
PA07450 (Texas)
Definition
Definition to come...
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