NPI age
19 years
Enumerated 2006-11-24
● Active Type 2 · Organization
Liberty Dayton Medical Clinic
Liberty Dayton Medical Clinic is 1 of 11022 physician assistant organizations in Texas.
Primary specialty
Physician Assistant
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Schwarzer
Managing Partner
Last NPPES update
2025-09-11
Source: monthly bulk 2026-05
How this organization compares
Across 11022 active physician assistant providers in Texas.
NPI age
19 years
↑ 9 yr above median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 23% of peers with subspecialties
NPI lifetime · 2006 → 2026
2006-11Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
1353 N Travis St
Liberty, TX 775753549
Mailing address
1353 N Travis St
Liberty, TX 775753549
Authorized official
Albert B Schwarzer
Managing Partner
📞 8177381993
Individual providers at this organization
9 individual providers on file at this primary practice address.
- Steven Branham, RN, ACNP Nurse Practitioner NPI 1740344415
- Susan Clark, NP-C Nurse Practitioner NPI 1770964991
- Israel Haile, M.D Internal Medicine NPI 1922328335
- Danny Khine, MD Internal Medicine NPI 1114945532
- Victoria Manning, FNP-BC Nurse Practitioner NPI 1053033530
- Edwin Morgan, PA Physician Assistant NPI 1750305850
- Michael Muldrow Physical Therapy Assistant NPI 1760211486
- Lisa Odom, APRN-BC Nurse Practitioner NPI 1992988539
- Shelly States, P.A Physician Assistant NPI 1407094667
Specialties
-
Physician Assistant PrimaryA physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally...
-
Internal MedicineA physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer,...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 0053KY | BCBS GROUP NUMBER |
Practice context
Multi-provider organization. 9 individual providers on file at this primary address.
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Request a quote →How to verify this organization
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.