Liberty Medical Surgical Clinic PA

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

45D0497236 Issued in TX

Legal business name

LIBERTY MEDICAL SURGICAL CLINIC PA

Practice address

720 Travis St
Liberty, TX 77575-4828

Phone

(936) 336-6439

Fax

(936) 336-6517

NPI assigned

Jul 7, 2005

Last updated

May 2, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Arthur Reese Brown, M.D.NPI 1881692499

Title

Owner/Partner

Phone

(936) 336-6439

Specialties & licenses 1

Addresses

Other identifiers 3

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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.

• Arthur Reese Brown, M.D.

  • Family Medicine Physician
  • Liberty, TX
  • NPI 1881692499
  Authorized official Same address or phone

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304294400000",
    "number": "1063419729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 TRAVIS ST",
            "city": "LIBERTY",
            "state": "TX",
            "postal_code": "775754828",
            "telephone_number": "936-336-6439",
            "fax_number": "936-336-6517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 TRAVIS ST",
            "city": "LIBERTY",
            "state": "TX",
            "postal_code": "775754828",
            "telephone_number": "936-336-6439",
            "fax_number": "936-336-6517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY MEDICAL SURGICAL CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-07",
        "last_updated": "2011-05-02",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_middle_name": "REESE",
        "authorized_official_title_or_position": "OWNER/PARTNER",
        "authorized_official_telephone_number": "936-336-6439",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "TX",
            "license": "45D0497236",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "1159730001",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "093702101",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE-NR",
            "identifier": "CH8298",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Liberty Dayton Foot & Ankle Center
• Liberty Dayton Medical Clinic
• Liberty I.S.D.
• Liberty Isd
• Liberty Medical Rural Health Clinic
• Liberty Physical Therapy
• Liberty Smiles, PLLC (Liberty Smiles)
• Liberty- Dayton Regional Medical Center LLC
• Liberty-Dayton Community Hospital
• Libracap PLLC (Lone Star Dental Associates)

• Clinical Medical Laboratory in Liberty, TX
• Providers in Liberty, TX by specialty
• Clinical Medical Laboratory in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.