Individual
SHU-HAO LIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
120 HILLCREST MEDICAL BLVD STE 3053, WACO, TX 76712-8948
(254) 202-4000
(254) 202-4019
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-2111
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036148786
IL
207R00000X
Internal Medicine Physician
34.012126
OH
207RP1001X
Pulmonary Disease Physician
036148786
IL
207RP1001X
Pulmonary Disease Physician
Primary
T3128
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0176829
—
OH
Enumeration date
03/28/2013
Last updated
05/11/2022
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