| Liberty Dayton Medical Clinic | |
|
1201 N Travis St Liberty TX 77575-3539 | |
| (936) 336-9175 | |
| (936) 336-8185 |
| Full Name | Liberty Dayton Medical Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 1201 N Travis St, Liberty, Texas |
| Authorized Official Name and Position | Rhonda Campbell (CEO) |
| Authorized Official Contact | 9363367316 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Liberty Dayton Medical Clinic 1353 N Travis St Liberty TX 77575-3549 Ph: (936) 336-7316 | Liberty Dayton Medical Clinic 1201 N Travis St Liberty TX 77575-3539 Ph: (936) 336-9175 |
| NPI Number | 1679926992 |
|---|---|
| Provider Enumeration Date | 07/21/2016 |
| Last Update Date | 08/31/2023 |
| Medicare PECOS PAC ID | 3678766227 |
|---|---|
| Medicare Enrollment ID | O20160309000894 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679926992 | NPI | - | NPPES |
| 284333606 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Health Center Of Southeast Texas - Liberty Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1400 N Travis St, Liberty, TX 77575 Phone: 936-334-1185 | |
Liberty Dayton Medical Specialty Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1202 N Travis St, Liberty, TX 77575 Phone: 281-915-0749 | |
Firm Foundations Healthcare Clinic Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2708 Jefferson Dr, Ste A, Liberty, TX 77575 Phone: 936-334-8800 Fax: 936-334-8801 | |
Firm Foundations Healthcare Clinic Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2708 Jefferson Dr Ste A, Liberty, TX 77575 Phone: 936-334-8800 Fax: 936-334-8801 | |
Ldrmc Profession Services Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1353 N Travis, Liberty, TX 77575 Phone: 936-336-7316 Fax: 936-336-2862 | |
Astros Healthcare Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 723 Main St, Liberty, TX 77575 Phone: 832-331-8438 Fax: 281-873-8101 | |
Mann Eye Institute Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1204 N Travis St, Liberty, TX 77575 Phone: 713-275-2457 Fax: 713-275-2466 |