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General NPI Number Information
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NPI Number | 1477873503
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Entity Type | Organization
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Legal Business Name | LIABLE GROUP, INC
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Dates
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Enumeration Date | 06/11/2010
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Last Update Date | 06/11/2010
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Provider Practice Location Address
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Address Line | 5380 W 34TH ST STE 284
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City | HOUSTON
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State | TX
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Zip | 77092-6626
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Country | US
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Telephone | 512-761-1163
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Fax | 281-936-0221
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Provider Business Mailing Address
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Address Line | 5380 W 34TH ST STE 284
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City | HOUSTON
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State | TX
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Zip | 77092-6626
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Country | US
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Telephone | 512-761-1163
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Fax | 281-936-0221
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JORGE L DOMINGUEZ
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Credential |
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Telephone | 512-761-1163
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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