OrganizationActive
Live Well MD PA
NPI 1265729453 · Vascular Surgery Physician · Dallas, TX
Provider details
- NPI number
- 1265729453
- Entity type
- Organization
- Primary specialty
- Vascular Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Henry Horrilleno, Owner(214) 388-4808
- License
- G1042 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4808 S Buckner Blvd
Dallas, TX 75227-2348
Phone: (214) 388-4808
Street-level locationGet directions
Mailing address
4808 S Buckner Blvd
Dallas, TX 75227-2348
Registry dates
- Enumerated
- 2011-07-07
- Last updated
- 2011-07-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.