institution
Charles A Lively Md Pa
Obstetrics Physician in Odessa, Texas
NPI 1437363926

Charles A Lively Md Pa is a Obstetrics Physician based in Odessa, TX and is specialized in Obstetrics. Charles A Lively Md Pa practices in Odessa, TX. The NPI Number for Charles A Lively Md Pa is 1437363926 and holds a License No. H6384 (Texas).

The current practice location address for Charles A Lively Md Pa is 608 N Muskingum Ave, Odessa, TX and can be reached out via phone at 432-580-9168 and via fax at 432-580-8221.

Location: 608 N Muskingum Ave, Odessa, TX, 79761-4539
institution
Provider Profile Details
NPI Number
1437363926
Provider Name
Charles A Lively Md Pa
Credential
Provider Entity Type
Organization
Address
608 N Muskingum Ave, Odessa, TX, 79761-4539
Phone Number
432-580-9168
Fax Number
432-580-8221
Provider Enumeration Date
05/10/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
123169807 05 TX
H6384 01 TX H6384
50072573 01 TX DPS
institution
Provider Business Practice Location Address Details
Address
608 N Muskingum Ave
City
State
Zip
79761-4539
Phone Number
432-580-9168
Fax Number
432-580-8221
person
Provider Business Mailing Address Details
Address
608 N Muskingum Ave
City
State
Zip
79761-4539
Phone Number
432-580-9168
Fax Number
432-580-8221
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Obstetrics
Taxonomy
License No.
H6384 (Texas)
Definition
Definition to come...
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