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

Livingston Pediatric Clinic PA

Organization Pediatrics Physician · NPI 1891848297

Livingston Pediatric Clinic PA is a Pediatrics Physician in Livingston, Texas. Works from 2 locations. Licensed in Texas.

Licensed in
TX
In the registry since
2007
Specialties on file
2
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

400 Ogletree Dr
Livingston, TX 77351-6783
Phone: (936) 328-8812
Fax: (936) 328-8815
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 203 N College Ave Ste 1001, Cleveland, TX 77327-2500 — (281) 592-6000

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X
Pediatric Adolescent Medicine Physician Taxonomy 2080A0000X · Licence J6500 (TX)

Record details

NPI number1891848297
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marlo Brawner — Medical Director · (936) 328-8812
NPI enumeratedJanuary 19, 2007
Last updated in NPPESJune 19, 2024
Certification dateJune 19, 2024
Mailing address400 Ogletree Dr, Livingston, TX 77351-6783

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