| Liberty Family Care And Wellness Pllc | |
|
8701 Liberty Grove Rd Ste 100 Rowlett TX 75089-2305 | |
| (972) 408-6433 | |
| Not Available |
| Full Name | Liberty Family Care And Wellness Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 8701 Liberty Grove Rd Ste 100, Rowlett, Texas |
| Authorized Official Name and Position | Laura Cervantes (MANAGER) |
| Authorized Official Contact | 9723480046 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Liberty Family Care And Wellness Pllc 8701 Liberty Grove Rd Ste 100 Rowlett TX 75089-2305 Ph: (972) 348-0046 | Liberty Family Care And Wellness Pllc 8701 Liberty Grove Rd Ste 100 Rowlett TX 75089-2305 Ph: (972) 408-6433 |
| NPI Number | 1417636770 |
|---|---|
| Provider Enumeration Date | 07/13/2023 |
| Last Update Date | 10/24/2023 |
| Medicare PECOS PAC ID | 8325494172 |
|---|---|
| Medicare Enrollment ID | O20231031000070 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417636770 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Laura Cervantes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255879698 PECOS PAC ID: 5890051510 Enrollment ID: I20171114001419 |
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