Liberty Dayton Medical Clinic

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Legal business name

LIBERTY DAYTON MEDICAL CLINIC

Practice address

1353 N Travis St
Liberty, TX 77575-3549

Phone

(936) 336-7316

Fax

(936) 336-8581

NPI assigned

Nov 24, 2006

Organization subpart

No

Name

Albert B Schwarzer

Title

Managing Partner

Phone

(817) 738-1993

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 11, 2025.

{
    "created_epoch": "1164326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1841365764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1353 N TRAVIS ST",
            "city": "LIBERTY",
            "state": "TX",
            "postal_code": "775753549",
            "telephone_number": "936-336-7316",
            "fax_number": "936-336-8581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1353 N TRAVIS ST",
            "city": "LIBERTY",
            "state": "TX",
            "postal_code": "775753549",
            "telephone_number": "936-336-7316",
            "fax_number": "936-336-8581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY DAYTON MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-24",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "SCHWARZER",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "817-738-1993"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP NUMBER",
            "identifier": "0053KY",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Liberty County Hospital District No. 1
• Liberty County Hospital District No. 1
• Liberty Dayton Community Hospital
• Liberty Dayton Community Hospital
• Liberty Dayton Foot & Ankle Center
• Liberty I.S.D.
• Liberty Isd
• Liberty Medical Rural Health Clinic
• Liberty Medical Surgical Clinic PA
• Liberty Physical Therapy

• All providers in Liberty, TX
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.