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Liberty Foster Care, LLC

Health Maintenance Organization in Missouri City, TX. Organization (NPI-2).

NPI number1124413992
StatusActive
Last updated in NPPESMar 30, 2015

Details

NPI
1124413992
Entity type
Organization (NPI-2)
Legal business name
Liberty Foster Care, LLC
Organization subpart
No
Enumeration date
Mar 30, 2015
Last updated
Mar 30, 2015

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
302R00000X Health Maintenance Organization––Yes

Practice location

15919 Kenbriar Dr
Missouri City, TX 77489-3311

Phone 832-207-4016

Mailing address

15919 Kenbriar Dr
Missouri City, TX 77489-3311

Phone 832-207-4016

Authorized official

James Walker
Mba
8322074016

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Health Maintenance Organization providers in Missouri City, TX

All 7 Health Maintenance Organization providers in Missouri City · All 2,684 providers in Missouri City

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