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NPI Code Detail

MEDICARE: DR. STEVEN JEFFERY LIEBERSON DPM

MEDICARE: DR. STEVEN JEFFERY LIEBERSON DPM
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 Podiatrist1386TX

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 : 1477573350
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STEVEN JEFFERY LIEBERSON DPM
Provider Business Mailing Address
First Line : 1315 ST JOSEPH PKWY STE 1002
Second Line :
City : HOUSTON
State : TX
Zip : 77002-8231
Country : US
Telephone Number : 713-654-1955
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 : 281-242-0323
Fax Number : 713-654-7095
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/20/2006
Last Update Date : 09/16/2025

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