Livingston, Jacqueline Sue

Livingston, Jacqueline Sue is an individual health care provider with primary practice located at 2005 Medical Pkwy C, San Marcos TX 78666-7576. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Livingston, Jacqueline Sue can be contacted via phone (512) 353-0744.

Contact Information

Primary practice address
2005 Medical Pkwy C San Marcos TX 78666-7576
Phone: (512) 353-0744
Fax: (512) 353-0744
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X G8902 Texas

Profile Details

NPI number 1326004912
LBN Legal business name Livingston, Jacqueline Sue
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2006
Last updated Jan 30th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326004912 NPPES
Texas MEDICAID 115232401

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