Search › Texas › 207V00000X
Charles Lively, M.D
NPI 1326062589 · on the registry since 2006
Practice
- Address
- 608 N Muskingum Ave
Odessa, TX 79761 - Phone
- (432) 580-9168
- Fax
- (432) 580-8221
- Organisation at this address
- Charles A Lively Md Pa
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 207V00000X
207V00000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-12-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas