ALLEN KEITH LIEBERMAN MD

Allergy and Immunology

Austin, Texas

Provider NPI: 1922075787

Provider Information:
 ALLEN KEITH LIEBERMAN MD


Practice Location:
10801 NORTH MD PAC EXPRESSWAY BUILDING II SUITE 150 AUSTIN, TX 78759 US
Tel: 512-345-7635  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

Primary	Code	Category/Description	State	License Number
Y	207K00000X	Physicians Allergy & Immunology	TX	J6157

Other Provider Identifiers:

Issuer	Number	State	Type
	104397801	TX	05

Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin

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