Liberty Medical Surgical Clinic Pa

LBN: Liberty Medical Surgical Clinic Pa
Liberty Medical Surgical Clinic Pa is an health care organization with primary practice located at 720 Travis St , Liberty TX 77575-4828. The organization recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as the primary health care specialty. Liberty Medical Surgical Clinic Pa can be contacted via phone (936) 336-6439, or through Brown, Arthur Reese via phone (936) 336-6439.

Contact Information

Primary practice address
720 Travis St Liberty TX 77575-4828
Phone: (936) 336-6439
Fax: (936) 336-6517
Website:
Map and Directions
Authorized official contact:
Name: Brown, Arthur Reese Doctor of Medicine (MD)
Phone: (936) 336-6439

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X 45D0497236 Texas

Profile Details

NPI number 1063419729
LBN Legal business name Liberty Medical Surgical Clinic Pa
DBA Doing business as
Authorized official Brown, Arthur Reese Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 7th, 2005
Last updated May 2nd, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1063419729 NPPES
Texas MEDICAID 093702101
Texas Other 1159730001
Texas Other CH8298

Popular Providers