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Individual
JINSONG LIU
Active
Individual
JINSONG LIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
K9838
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
220026681
RR MEDICARE
TX
05
—
42024201
—
TX
01
—
88788X
BCBS
TX
Enumeration date
09/21/2006
Last updated
06/18/2012
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