Individual
JEAN H LIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1139 E SONTERRA BLVD STE 520, SAN ANTONIO, TX 78258-4347
(210) 490-6000
(210) 490-4658
Mailing address
4411 MEDICAL DR STE 300, SAN ANTONIO, TX 78229-3824
(210) 614-5400
(210) 614-2413
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
H4988
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
124300806
—
TX
01
—
8CM508
BCBS
TX
01
—
P00898257
RAILROAD MEDICARE
TX
01
—
TXB112504
MEDICARE
TX
Enumeration date
01/26/2006
Last updated
07/21/2022
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