Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Audrey C Lively, PA-C

Individual provider Surgical Physician Assistant · NPI 1396027306

Audrey C Lively, PA-C is a Surgical Physician Assistant in Houston, Texas. Licensed in Texas. Registered with an NPI since 2011.

Licensed in
TX
In the registry since
2011
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

6414 Fannin St Ste G150
Houston, TX 77030-1514
Phone: (713) 486-7515
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA07450 (TX)

Record details

NPI number1396027306
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 15, 2011
Last updated in NPPESOctober 22, 2018

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