Mary Lively is one of 1,896 nurse practitioners practicing in Dallas, Texas .
Mary Lively practices with Healthtexas Provider Network.
Registry record (NPPES)
NPI
1114261401
Type
Type 1 · Individual
Primary taxonomy
Nurse Practitioner, Family · 363LF0000X
Address on file
8198 Walnut Hill Ln Ste 100
Enumerated
Nov 27, 2012
Record last updated
Sep 20, 2016
License states listed
TX
Medicare (CMS)
Enrollment
Medicare-enrolled in TXNurse Practitioner
Revalidation due
No date set by CMS
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Part D prescribing
Procedure volumes by CPT code
Group affiliations and colleagues
Full enrollment history
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Practice locations
9101 N Central Expy Suite 250Dallas , TX 75231
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Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.
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