Organization Active NPI

Terry Lively Enterprises

  • Other Specialist/Technologist
  • Canyon Lake, TX
National Provider Identifier
1336911387
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Other Specialist/TechnologistTaxonomy code 246Z00000X
Legal business name
TERRY LIVELY ENTERPRISES
Practice address
1478 FM 2673
Canyon Lake, TX 78133-4583
Phone
(210) 585-8410
NPI assigned
Oct 24, 2023
Last updated
Sep 4, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Terry LivelyNPI 1184268609
Title
Owner
Phone
(210) 862-3087

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Other Specialist/Technologist 246Z00000X NU Primary

Addresses

Primary practice location

1478 FM 2673
Canyon Lake, TX 78133-4583

Mailing address

1478 FM 2673
Canyon Lake, TX 78133-4583

National Provider Directory

National Provider Directory

Locations

1478 FM 2673
Canyon Lake, TX 78133
Phone (210) 585-8410

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1698105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788480000000",
    "number": "1336911387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1478 FM 2673",
            "city": "CANYON LAKE",
            "state": "TX",
            "postal_code": "781334583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1478 FM 2673",
            "city": "CANYON LAKE",
            "state": "TX",
            "postal_code": "781334583",
            "telephone_number": "210-585-8410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRY LIVELY ENTERPRISES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-24",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A",
        "authorized_official_last_name": "LIVELY",
        "authorized_official_first_name": "TERRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-862-3087"
    },
    "taxonomies": [
        {
            "code": "246Z00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canyon Lake, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.