Individual
JIANGPING LIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1307 8TH AVE, STE 610, FORT WORTH, TX 76104-4142
(817) 924-6200
(817) 924-6201
Mailing address
PO BOX 961205, FORT WORTH, TX 76161-1205
(817) 740-8400
(817) 924-6201
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
L4042
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
130026309
RAILROAD MEDICARE
—
05
—
155138401
—
TX
Enumeration date
07/28/2006
Last updated
09/30/2011
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