Individual
DR. LIXIN LIAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
515 W MAYFIELD RD, #101, ARLINGTON, TX 76014-2083
(817) 467-6092
(817) 465-0680
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 437-9605
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
L9322
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
166665301
—
TX
05
—
166665302
—
TX
05
—
166665303
—
TX
01
—
8R1493
BLUE CROSS OF TX
TX
Enumeration date
08/05/2006
Last updated
07/10/2015
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