Mary M Lively (NPI# 1114261401, PAC ID# 4880831254) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1114261401 |
| PAC ID by PECOS | 4880831254 |
| Professional Enrollment ID | I20130503000112 |
| Full Name | Mary M Lively |
| Organization Legal Name | NEUROLOGY CONSULTANTS OF DALLAS, P.A. |
| Address |
8390 Lyndon B Johnson Fwy Suite 1000 Dallas TX 75243-1288 |
| Phone Number | 2147509977230 |
| Gender | F |
| Graduation Year | 2012 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0042289340 |
| Number of Group Practice Members | 20 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 8390 Lyndon B Johnson Fwy, Suite 1000, Dallas, TX 75243-1288 | 2147509977230 | NEUROLOGY CONSULTANTS OF DALLAS, P.A. |
| Organization Legal Name | NEUROLOGY CONSULTANTS OF DALLAS, P.A. |
| Physicians | 23 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anna S Tseng | Neurology | Neurology Consultants of Dallas, P.a. | 8390 Lyndon B Johnson Fwy, Suite 1000, Dallas, TX 75243-1288 |
| Karen F Sacks | Nurse Practitioner | Neurology Consultants of Dallas, P.a. | 8390 Lyndon B Johnson Fwy, Suite 1000, Dallas, TX 75243-1288 |
| Daniel E Krampitz | Neurology | Neurology Consultants of Dallas, P.a. | 8390 Lyndon B Johnson Fwy, Suite 1000, Dallas, TX 75243-1288 |
| Richard C Hinton | Neurology | Neurology Consultants of Dallas, P.a. | 8390 Lyndon B Johnson Fwy, Suite 1000, Dallas, TX 75243-1288 |
| Aashoo Pande Mentreddi | Neurology | Neurology Consultants of Dallas, P.a. | 8390 Lyndon B Johnson Fwy, Suite 1000, Dallas, TX 75243-1288 |
| Catherine W Kamau | Nurse Practitioner | Neurology Consultants of Dallas, P.a. | 8390 Lyndon B Johnson Fwy, Suite 1000, Dallas, TX 75243-1288 |
| Kimberly Georgena Broomfield | Nurse Practitioner | Neurology Consultants of Dallas, P.a. | 8390 Lyndon B Johnson Fwy, Suite 1000, Dallas, TX 75243-1288 |
| Angela Young Achong Mejia | Neurology | Neurology Consultants of Dallas, P.a. | 8390 Lyndon B Johnson Fwy, Suite 1000, Dallas, TX 75243-1288 |
| Jennifer M Takesaka | Neurology | Neurology Consultants of Dallas, P.a. | 8390 Lyndon B Johnson Fwy, Suite 1000, Dallas, TX 75243-1288 |
| Duc Tran | Neurology | Neurology Consultants of Dallas, P.a. | 8390 Lyndon B Johnson Fwy, Suite 1000, Dallas, TX 75243-1288 |
| Street Address |
8390 LYNDON B JOHNSON FWY SUITE 1000 |
| City | DALLAS |
| State | TX |
| Zip | 75243-1288 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anna S Tseng | Neurology | Neurology Consultants of Dallas, P.a. | 8390 Lyndon B Johnson Fwy, Suite 1000, Dallas, TX 75243-1288 |
| Karen F Sacks | Nurse Practitioner | Neurology Consultants of Dallas, P.a. | 8390 Lyndon B Johnson Fwy, Suite 1000, Dallas, TX 75243-1288 |
| Daniel E Krampitz | Neurology | Neurology Consultants of Dallas, P.a. | 8390 Lyndon B Johnson Fwy, Suite 1000, Dallas, TX 75243-1288 |
| Richard C Hinton | Neurology | Neurology Consultants of Dallas, P.a. | 8390 Lyndon B Johnson Fwy, Suite 1000, Dallas, TX 75243-1288 |
| Aashoo Pande Mentreddi | Neurology | Neurology Consultants of Dallas, P.a. | 8390 Lyndon B Johnson Fwy, Suite 1000, Dallas, TX 75243-1288 |
| Catherine W Kamau | Nurse Practitioner | Neurology Consultants of Dallas, P.a. | 8390 Lyndon B Johnson Fwy, Suite 1000, Dallas, TX 75243-1288 |
| Kimberly Georgena Broomfield | Nurse Practitioner | Neurology Consultants of Dallas, P.a. | 8390 Lyndon B Johnson Fwy, Suite 1000, Dallas, TX 75243-1288 |
| Angela Young Achong Mejia | Neurology | Neurology Consultants of Dallas, P.a. | 8390 Lyndon B Johnson Fwy, Suite 1000, Dallas, TX 75243-1288 |
| Jennifer M Takesaka | Neurology | Neurology Consultants of Dallas, P.a. | 8390 Lyndon B Johnson Fwy, Suite 1000, Dallas, TX 75243-1288 |
| Duc Tran | Neurology | Neurology Consultants of Dallas, P.a. | 8390 Lyndon B Johnson Fwy, Suite 1000, Dallas, TX 75243-1288 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Annette E Murray | Physical Therapy | Htk Enterprises LLC | 11882 Greenville Ave, Suite 127, Dallas, TX 75243-0514 |
| Janice L. Walker | Occupational Therapy | Htk Enterprises LLC | 11882 Greenville Ave, Suite 127, Dallas, TX 75243-0514 |
| Ila E Dennis | Clinical Social Worker | 11882 Greenville Ave, Suite B125, Dallas, TX 75243-0586 | |
| Shyh Jye Wang | Optometry | 13739 N Central Expy, Midpark Eyecare, Dallas, TX 75243-1003 | |
| Poonam Dubal Desai | Psychologist, Clinical | Carewright Clinical Services | 8390 Lbj Fwy, Suite 575, Dallas, TX 75243-1188 |
| Mark E Cartwright | Psychologist, Clinical | Carewright Clinical Services | 8390 Lbj Fwy, Suite 575, Dallas, TX 75243-1188 |
| Louanne Parker | Psychologist, Clinical | Carewright Clinical Services | 8390 Lbj Fwy, Suite 575, Dallas, TX 75243-1188 |
| Andria Mccarty | Psychologist, Clinical | Carewright Clinical Services | 8390 Lbj Fwy, Suite 575, Dallas, TX 75243-1188 |
| Kalima Charway | Psychologist, Clinical | Carewright Clinical Services | 8390 Lbj Fwy, Suite 575, Dallas, TX 75243-1188 |
| Alejandro A Magadan | Neurology | Neurology Consultants of Dallas, P.a. | 8390 Lyndon B Johnson Fwy, Suite 1000, Dallas, TX 75243-1288 |
| Find all physicians in zip 75243 | |||
| City | DALLAS |
| Zip Code | 75243 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | DALLAS + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Mary M Lively.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.