# SOFIA A LIESER MD PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598136731
- **Authorized official:** CAROLE BURNS (OPERATIONS SUPERVISOR)
- **Authorized official phone:** (817) 481-5863

## Contact information

- **Practice address:** 1600 W COLLEGE ST, SUITE 540, GRAPEVINE, TX 76051-3580
- **Practice address phone:** (817) 481-5863
- **Practice address fax:** (817) 329-8561
- **Mailing address:** 1600 W COLLEGE ST, SUITE 540, GRAPEVINE, TX 76051-3580
- **Mailing address phone:** (817) 481-5863
- **Mailing address fax:** (817) 329-8561

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | Q4178 | TX | Yes |

## Other

- **Enumeration date:** 10/14/2015
- **Last updated:** 06/06/2023