Individual
DR. KEVIN XIAOBO LIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4450 SOJOURN DR STE 200, ADDISON, TX 75001-5000
(972) 733-0014
(972) 733-0125
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 234-2987
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
2017043385
MO
2085R0202X
Diagnostic Radiology Physician
Primary
S0009
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
398424705
—
TX
Enumeration date
05/20/2013
Last updated
02/10/2021
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