Individual
DR. BRANDON D LIEBELT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4502 MEDICAL DR FL 2, SAN ANTONIO, TX 78229-4402
(210) 358-8555
(210) 358-8576
Mailing address
4502 MEDICAL DR FL 2, SAN ANTONIO, TX 78229-4402
(210) 358-8555
(210) 358-8576
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
042.0014122
VT
207T00000X
Neurological Surgery Physician
53493
AZ
207T00000X
Neurological Surgery Physician
Primary
V7560
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
252516
—
AZ
Enumeration date
05/18/2010
Last updated
09/12/2025
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