| NPI | 1194456038 |
|---|---|
| Doing Business As | LIV MED |
| Entity Type | Organization |
| Authorized Contact | NADEEN LUCERO SOEDERBAUM Member 817-823-4290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2022-06-21 |
| Last Update Date | 2022-06-21 |