Healthcare Provider Details

I. General information

NPI: 1972548642
Provider Name (Legal Business Name): TOEPPERWEIN MED-CLINIC LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/18/2006
Last Update Date: 04/22/2025
Certification Date: 04/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11901 TOEPPERWEIN RD SUITE 1402
LIVE OAK TX
78233-3161
US

IV. Provider business mailing address

11901 TOEPPERWEIN RD SUITE 1402
LIVE OAK TX
78233-3161
US

V. Phone/Fax

Practice location:
  • Phone: 210-599-3840
  • Fax: 210-599-1713
Mailing address:
  • Phone: 210-599-3840
  • Fax: 210-599-1713

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number StateTX

VIII. Authorized Official

Name: NADINE LIU
Title or Position: OWNER/PHYSICIAN
Credential: D.O.
Phone: 210-599-3840