Organization
DR DAVID LIAO ORTHOPAEDIC CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID Y LIAO DO (SOLE MEMBER)
(903) 454-9900
Entity
Organization
Contact information
Practice address
3900 JOE RAMSEY BLVD E, BLDG 1, GREENVILLE, TX 75401-7727
(903) 454-9900
(903) 454-9909
Mailing address
PO BOX 935, GREENVILLE, TX 75403-0935
(903) 454-9900
(903) 454-9909
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
K4485
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
161728401
—
TX
01
—
8J5170
BCBS
TX
01
—
F04799
UPIN
TX
Enumeration date
01/07/2008
Last updated
10/04/2019
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