Lieberman, Scott M

Lieberman, Scott M is an individual health care provider with primary practice located at 1783 Troup Hwy , Tyler TX 75701-5869. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Lieberman, Scott M can be contacted via phone (903) 595-2283.

Contact Information

Primary practice address
1783 Troup Hwy Tyler TX 75701-5869
Phone: (903) 595-2283
Fax: (903) 595-1063
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X J6158 Texas
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X J6158 Texas

Profile Details

NPI number 1326038159
LBN Legal business name Lieberman, Scott M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2005
Last updated Nov 14th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326038159 NPPES
Louisiana MEDICAID 1776475
Louisiana Other 045166801
Louisiana Other 060024159
Louisiana Other 060024159
Louisiana Other 86K923
Louisiana MEDICAID 045166801

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