OrganizationActive
Livingston Pediatric Clinic PA
NPI 1609055904 · Pediatric Adolescent Medicine Physician · Cleveland, TX
Provider details
- NPI number
- 1609055904
- Entity type
- Organization
- Primary specialty
- Pediatric Adolescent Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Julie Lairmore, Practice Administrator(936) 328-8812
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
206 S College Ave
Cleveland, TX 77327-4504
Phone: (281) 592-6000
Fax: (936) 328-8815
Approximate (ZIP-level) locationGet directions
Mailing address
400 Ogletree Dr
Livingston, TX 77351-6783
Registry dates
- Enumerated
- 2007-11-02
- Last updated
- 2008-04-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.