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Melissa Irene Livermore
Surgical Physician Assistant in Plano, Texas
NPI 1538877881

Melissa Irene Livermore is a Surgical Physician Assistant based in Plano, TX and is specialized in Surgical. Melissa Irene Livermore practices in Plano, TX. The NPI Number for Melissa Irene Livermore is 1538877881 and holds a License No. PA16399 (Texas).

The current practice location address for Melissa Irene Livermore is 5000 Legacy Dr Ste 215, Plano, TX and can be reached out via phone at 972-494-3100.

Location: 5000 Legacy Dr Ste 215, Plano, TX, 75024-3373
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1538877881
Provider Name
Melissa Irene Livermore
Credential
Provider Entity Type
Individual
Gender
Female
Address
5000 Legacy Dr Ste 215, Plano, TX, 75024-3373
Phone Number
972-494-3100
Fax Number
Provider Enumeration Date
11/07/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5000 Legacy Dr Ste 215
City
Plano
State
Texas
Zip
75024-3181
Phone Number
972-494-3100
Fax Number
person
Provider Business Mailing Address Details
Address
5000 Legacy Dr Ste 215
City
Plano
State
Texas
Zip
75024-3181
Phone Number
972-494-3100
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
363AS0400X
License No.
PA16399 (Texas)
Definition
Definition to come...
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