Individual
ENCHUN MIKE LIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9910 HUEBNER RD, STE 100, SAN ANTONIO, TX 78240-1342
(210) 615-7600
(210) 615-8505
Mailing address
9910 HUEBNER RD, STE 100, SAN ANTONIO, TX 78240-1342
(210) 615-7600
(210) 615-8505
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
2013012522
MO
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
Q3399
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
347266401
—
TX
Enumeration date
04/24/2009
Last updated
08/12/2019
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