Charles a Lively MD PA
Charles a Lively MD PA is an Obstetrics Physician in Odessa, Texas. Licensed in Texas. Registered with an NPI since 2007.
- Licensed in
- TX
- In the registry since
- 2007
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
608 N Muskingum AveOdessa, TX 79761-4539
Phone: (432) 580-9168
Fax: (432) 580-8221
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Obstetrics Physician (primary) | Taxonomy 207VX0000X · Licence H6384 (TX) |
|---|
Record details
| NPI number | 1437363926 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Charles Lively — Owner Physician · (432) 580-9168 |
| NPI enumerated | May 10, 2007 |
| Last updated in NPPES | March 7, 2023 |
| Certification date | December 15, 2020 |
| Mailing address | 608 N Muskingum Ave, Odessa, TX 79761-4539 |