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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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