MEDICARE: DR. DAVID R LIONBERGER M.D.

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	207XS0114X	Adult Reconstructive Orthopaedic Surgery Physician	F0562	TX
2	207X00000X	Orthopaedic Surgery Physician	F0562	TX

Other Identifiers

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

General Provider Information

NPI Number	:	1447257183
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID R LIONBERGER M.D.

Provider Business Mailing Address
First Line	:	6550 FANNIN ST STE 2600
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-2750
Country	:	US
Telephone Number	:	713-790-1818
Fax Number	:

Provider Business Practice Location Address
First Line	:	6550 FANNIN ST STE 2600
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-2750
Country	:	US
Telephone Number	:	713-790-1818
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/07/2005
Last Update Date	:	02/26/2020

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