| Liberty Medical Rural Health Clinic | |
|
720 Travis St Liberty TX 77575-4828 | |
| (936) 336-6439 | |
| (936) 336-6517 |
| Full Name | Liberty Medical Rural Health Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 720 Travis St, Liberty, Texas |
| Authorized Official Name and Position | Arthur Reese Brown (OWNER/PARTNER) |
| Authorized Official Contact | 9363366439 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Liberty Medical Rural Health Clinic 720 Travis St Liberty TX 77575-4828 Ph: (936) 336-6439 | Liberty Medical Rural Health Clinic 720 Travis St Liberty TX 77575-4828 Ph: (936) 336-6439 |
| NPI Number | 1871590703 |
|---|---|
| Provider Enumeration Date | 07/07/2005 |
| Last Update Date | 04/16/2010 |
| Medicare PECOS PAC ID | 0446387880 |
|---|---|
| Medicare Enrollment ID | O20100416000346 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871590703 | NPI | - | NPPES |
| 063414901 | Medicaid | TX | |
| CH8297 | Other | TX | RR MEDICARE-RH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 453892 (Texas) | Primary |
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