Individual
LILLIAN NIAKAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2401 S 31ST ST, TEMPLE, TX 76508-0001
(254) 724-4507
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(800) 994-0371
(254) 215-9722
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
BP10063729
TX
2085R0202X
Diagnostic Radiology Physician
1014585
MA
2085R0202X
Diagnostic Radiology Physician
Primary
V1851
TX
Other
Enumeration date
05/17/2018
Last updated
10/14/2024
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