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Individual

LU LIU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
2821 E PRESIDENT GEORGE BUSH HWY STE 201, RICHARDSON, TX 75082-4277
(972) 498-4791
(972) 498-4939
Mailing address
2821 E PRESIDENT GEORGE BUSH HWY STE 201, RICHARDSON, TX 75082-4277
(972) 498-4791
(972) 498-4939

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA02204
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
187944701
TX
Enumeration date
03/31/2006
Last updated
08/13/2024
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