Michael Shawn Lively in Kerrville - Emergency Medicine
Michael Shawn Lively - NPI 1962460303
Michael Shawn Lively is a Emergency Medicine in Kerrville, Texas. Michael Shawn Lively practices all healthcare services and medical treatments related to Emergency Medicine. The NPI Number for Michael Shawn Lively is 1962460303. The last update date is 2009-05-12.
Michael Shawn Lively's current location address is 710 Water St, Kerrville, Texas. You can contact this provider via phone number 8302587747. The mailing address for Michael Shawn Lively is 710 Water St, Kerrville, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael Shawn Lively |
|---|---|
| Address | 710 Water St, Kerrville, Texas |
| Phone Number | 8302587747 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1962460303 |
|---|---|
| Provider Enumeration Date | 2006-05-03 |
| Last Updated Date | 2009-05-12 |
Provider Mailing Address Detail
| Address | 710 Water St |
|---|---|
| City | Kerrville |
| State | Texas (TX) |
| Post Code | 780285329 |
| Phone Number | 8302587747 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Emergency Medicine |
|---|---|
| Taxonomy | 207P00000X |
| Licence No | M3632 |
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Definition: An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8M6794 | TX | BCBS | |
| 180018702 | TX | CSHCN | |
| 180018701 | TX | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Michael Shawn Lively by the Centers for Medicare & Medicaid Services (CMS)?
The Michael Shawn Lively has been assigned the NPI (National Provider Identifier) 1962460303. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Michael Shawn Lively?
The Michael Shawn Lively is situated at 710 Water St, in the city of Kerrville, state of TX, with the zip code 780285329.
What is Michael Shawn Lively's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Michael Shawn Lively's specialized field of practice is Emergency Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207P00000X.
On what date did the Michael Shawn Lively receive the assignment of its 1962460303 from the Centers for Medicare & Medicaid Services?
The Michael Shawn Lively was issued its 1962460303 by the Centers for Medicare & Medicaid Services on 2006-05-03.
When was the information pertaining to Michael Shawn Lively most recently updated or revised?
The details related to Michael Shawn Lively, including its address, specialty, and other relevant information, were last updated or revised on 2009-05-12.