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Contact Information

LIBERTY PROVIDER CONSULTING & CREDENTIALING
2650 THOUSAND OAKS DR.
SUITE 2902
SAN ANTONIO, TX78232-4149
 Phone: 210-701-3494
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Research Data Abstracter/Coder

1744R1103X
Indicates primary specialty

NPI Profile & details for LIBERTY PROVIDER CONSULTING & CREDENTIALING

NPI # 1043694722
LBN Legal business name LIBERTY PROVIDER CONSULTING & CREDENTIALING
Authorized official TRACY GIBSON - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 07/13/2015
Last updated 07/13/2015 - About 11 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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