Individual
MIKE LIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
900 JEROME ST STE 102, FORT WORTH, TX 76104-3939
(817) 924-6200
(817) 924-6201
Mailing address
900 JEROME ST STE 102, FORT WORTH, TX 76104-3939
(817) 924-6200
(817) 924-6201
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
S0729
TX
Other
Enumeration date
06/30/2016
Last updated
08/11/2022
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