Individual
DR. CHARLIES LIU XIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3500 GASTON AVE, DALLAS, TX 75246-2017
(800) 841-4236
(706) 653-1162
Mailing address
PO BOX 678253, DALLAS, TX 75267-8253
(800) 841-4236
(706) 653-1162
Taxonomy
Speciality
Code
Description
License number
State
207UN0902X
Nuclear Imaging & Therapy Physician
Primary
U0457
TX
2085R0202X
Diagnostic Radiology Physician
U0457
TX
Other
Enumeration date
04/19/2017
Last updated
07/11/2023
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