Individual
PHILIP LIEU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2625 BOLTON BOONE DR, DESOTO, TX 75115-2011
(972) 283-1516
(972) 283-1448
Mailing address
2625 BOLTON BOONE DR, DESOTO, TX 75115-2011
(469) 383-3368
(214) 452-2396
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
4301104568
MI
207W00000X
Ophthalmology Physician
BP20040314
TX
207W00000X
Ophthalmology Physician
Primary
S4807
TX
Other
Enumeration date
05/06/2010
Last updated
07/30/2020
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