Organization
LIBERTY HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARISSA DELUNA (CREDENTIALING MANAGER)
(713) 800-3359
Entity
Organization
Contact information
Practice address
1106 S FRIENDSWOOD DR, FRIENDSWOOD, TX 77546-5497
(832) 912-8603
(832) 912-8616
Mailing address
1106 S FRIENDSWOOD DR, FRIENDSWOOD, TX 77546-5497
(832) 912-8603
(832) 912-8616
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
—
—
2084N0600X
Clinical Neurophysiology Physician
—
—
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
05/31/2022
Last updated
05/31/2022
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