MEDICARE: TOEPPERWEIN MED-CLINIC LTD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician		TX

General Provider Information

NPI Number	:	1972548642
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TOEPPERWEIN MED-CLINIC LTD

Provider Business Mailing Address
First Line	:	11901 TOEPPERWEIN RD
Second Line	:	SUITE 1402
City	:	LIVE OAK
State	:	TX
Zip	:	78233-3161
Country	:	US
Telephone Number	:	210-599-3840
Fax Number	:	210-599-1713

Provider Business Practice Location Address
First Line	:	11901 TOEPPERWEIN RD
Second Line	:	SUITE 1402
City	:	LIVE OAK
State	:	TX
Zip	:	78233-3161
Country	:	US
Telephone Number	:	210-599-3840
Fax Number	:	210-599-1713

Authorized Official
Title or Position	:	OWNER/PHYSICIAN
Name	:	NADINE LIU
Credential	:	D.O.
Telephone Number	:	210-599-3840

Provider Enumeration Date	:	06/18/2006
Last Update Date	:	04/22/2025

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