Individual
KENNETH K LIAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1101 BATES AVE, HOUSTON, TX 77030-2607
(713) 798-1300
Mailing address
7200 CAMBRIDGE ST, HOUSTON, TX 77030-4202
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
42328
MN
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
42328
MN
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
S6233
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0554584
—
IA
05
—
090474100
—
MN
01
—
1031690
PREFERRED ONE
MN
01
—
142142
UCARE
MN
01
—
18-00014
MEDICA PRIMARY
MN
01
—
18-00070
MEDICA CHOICE
MN
01
—
224A2LI
BLUE CROSS BLUE SHIELD
MN
05
—
34260200
—
WI
01
—
506360
FAIRVIEW
MN
01
—
HP40342
HEALTH PARTNERS
MN
Enumeration date
09/15/2006
Last updated
05/03/2022
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