OrganizationActive
Charles a Lively MD PA
NPI 1437363926 · Obstetrics Physician · Odessa, TX
Provider details
- NPI number
- 1437363926
- Entity type
- Organization
- Primary specialty
- Obstetrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Charles Lively, Owner Physician(432) 580-9168
- License
- H6384 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
608 N Muskingum Ave
Odessa, TX 79761-4539
Phone: (432) 580-9168
Fax: (432) 580-8221
Street-level locationGet directions
Mailing address
608 N Muskingum Ave
Odessa, TX 79761-4539
Registry dates
- Enumerated
- 2007-05-10
- Last updated
- 2023-03-07
- Certified
- 2020-12-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.