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NPI Code Detail

MEDICARE: STEVEN J LIEBERSON DPM, PC

MEDICARE: STEVEN J LIEBERSON DPM, PC
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
1213ES0103XFoot & Ankle Surgery Podiatrist0700TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1063427938
Entity Type Code : Organization
Provider Name (Legal Business Name) : STEVEN J LIEBERSON DPM, PC
Provider Business Mailing Address
First Line : PO BOX 16729
Second Line :
City : SUGAR LAND
State : TX
Zip : 77496-6729
Country : US
Telephone Number : 281-242-3233
Fax Number : 713-654-7095
Provider Business Practice Location Address
First Line : 4780 SWEETWATER BLVD STE 100
Second Line :
City : SUGAR LAND
State : TX
Zip : 77479-3163
Country : US
Telephone Number : 281-242-3233
Fax Number : 713-654-7095
Authorized Official
Title or Position : OWNER
Name : STEVEN J LIEBERSON
Credential : MD
Telephone Number : 281-242-3233
Provider Enumeration Date : 07/29/2006
Last Update Date : 10/04/2017

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