Individual
DR. NATHAN DANIEL LILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2830 CALDER ST, BEAUMONT, TX 77702-1809
(409) 892-7171
(512) 597-2713
Mailing address
PO BOX 421479, HOUSTON, TX 77242-1479
(409) 299-3214
(409) 299-3251
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
N2174
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2160947
—
TX
01
—
TXB109244
MEDICARE
TX
Enumeration date
05/11/2009
Last updated
03/06/2026
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