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1396027306
AUDREY C LIVELY
HOUSTON, TX
NPI
1396027306
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: TX PA07450)
Enumeration Date
2011-09-15
Last Update Date
2018-10-22
Business Address
AUDREY C LIVELY PA-C
6414 FANNIN ST STE G150
HOUSTON, TX 77030-1514
Phone number: 713-486-7515
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Mailing Address
AUDREY C LIVELY PA-C
6400 FANNIN ST STE 1700
HOUSTON, TX 77030-1526
Phone number: 713-486-6998
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