Individual
DR. EDWARD C LIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
709 HOLLYBROOK DR, SUITE 3401, LONGVIEW, TX 75605-2411
(903) 753-1778
(903) 753-7202
Mailing address
PO BOX 610393, DALLAS, TX 75261-0393
(903) 291-6187
(903) 237-1810
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
F1752
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
130191308
—
TX
Enumeration date
03/02/2006
Last updated
09/24/2019
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