Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Live Well MD PA

Organization Vascular Surgery Physician · NPI 1265729453

Live Well MD PA is a Vascular Surgery Physician in Dallas, Texas. Licensed in Texas. Registered with an NPI since 2011.

Licensed in
TX
In the registry since
2011
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4808 S Buckner Blvd
Dallas, TX 75227-2348
Phone: (214) 388-4808
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X · Licence G1042 (TX)

Record details

NPI number1265729453
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Henry Horrilleno — Owner · (214) 388-4808
NPI enumeratedJuly 7, 2011
Last updated in NPPESJuly 7, 2011
Mailing address4808 S Buckner Blvd, Dallas, TX 75227-2348

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