Provider Demographics
NPI:1477873503
Name:LIABLE GROUP, INC
Entity Type:Organization
Organization Name:LIABLE GROUP, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JORGE
Authorized Official - Middle Name:L
Authorized Official - Last Name:DOMINGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-761-1163
Mailing Address - Street 1:5380 W 34TH ST
Mailing Address - Street 2:STE 284
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77092-6626
Mailing Address - Country:US
Mailing Address - Phone:512-761-1163
Mailing Address - Fax:281-936-0221
Practice Address - Street 1:5380 W 34TH ST
Practice Address - Street 2:STE 284
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77092-6626
Practice Address - Country:US
Practice Address - Phone:512-761-1163
Practice Address - Fax:281-936-0221
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-11
Last Update Date:2010-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center