Individual
LIQIAO MA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5012 US HWY 75 STE 200, DENISON, TX 75020-4610
(903) 463-2223
(903) 463-2224
Mailing address
3500 JEFFERSON ST, STE 200, AUSTIN, TX 78731-6200
(512) 451-0139
(512) 323-5880
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
269679
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
—
Enumeration date
03/31/2014
Last updated
05/08/2020
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