Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2086S0105X | Surgery of the Hand | K4735 | TX |
Y | 2086S0122X | Plastic and Reconstructive Surgery | K4735 | TX |
NPI | 1518999135 |
---|---|
Provider Name | Christopher K Livingston |
First Address | Houston, TX 77030-5204 |
Second Address | Houston, TX 77030-5204 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/07/2006 |
Last Update Date | 11/10/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H88137 | (02) | TX |