Provider Demographics
NPI:1225440092
Name:LIVINGSTON MEDICAL, PLLC
Entity type:Organization
Organization Name:LIVINGSTON MEDICAL, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:M.D
Authorized Official - Prefix:
Authorized Official - First Name:YONG
Authorized Official - Middle Name:D
Authorized Official - Last Name:CHANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-245-0028
Mailing Address - Street 1:2324 OLD DENTON RD STE 100
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75006-1440
Mailing Address - Country:US
Mailing Address - Phone:972-245-0028
Mailing Address - Fax:
Practice Address - Street 1:2324 OLD DENTON RD STE 100
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75006-1440
Practice Address - Country:US
Practice Address - Phone:972-245-0028
Practice Address - Fax:972-245-0029
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-28
Last Update Date:2024-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty