Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Liberty Medical Rural Health Clinic

Organization Family Medicine Physician · NPI 1871590703

Liberty Medical Rural Health Clinic is a Family Medicine Physician 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

Other providers in Liberty