Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Liberty Medical Rural Health Clinic

Organization Family Medicine Physician · NPI 1871590703

Liberty Medical Rural Health Clinic provides Family Medicine Physician services in Liberty, Texas. Licensed in Texas. Registered with an NPI since 2005.

Licensed in
TX
In the registry since
2005
Specialties on file
2

Practice location Address checks out

720 Travis St
Liberty, TX 77575-4828
Phone: (936) 336-6439
Fax: (936) 336-6517
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rural Health Clinic/Center (primary) Taxonomy 261QR1300X
Family Medicine Physician Taxonomy 207Q00000X · Licence 453892 (TX)

Record details

NPI number1871590703
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Fallon Kay — Office Manager · (936) 336-6439
NPI enumeratedJuly 7, 2005
Last updated in NPPESOctober 9, 2024
Certification dateOctober 9, 2024
Mailing address720 Travis St, Liberty, TX 77575-4828

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