Individual
DR. YUAN CHAO LIU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.,/PHD (CHINA)
Contact information
Practice address
6502 BANDERA RD STE 108, SAN ANTONIO, TX 78238-1445
(210) 647-1305
(210) 573-4315
Mailing address
6502 BANDERA RD STE 108, SAN ANTONIO, TX 78238-1445
(210) 647-1305
(210) 573-4315
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC00204
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10775479
CAQH
TX
01
—
PROVIDER ID# 1837170
COVENTRY HEALTH CARE
TX
Enumeration date
11/30/2007
Last updated
11/30/2007
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