Individual
JOHN TIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2800 E BROAD ST STE 408, MANSFIELD, TX 76063-6414
(817) 617-4225
(817) 394-3994
Mailing address
601 OMEGA DR STE 208, ARLINGTON, TX 76014-2075
(817) 465-5881
(817) 465-6336
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
K9190
TX
207RP1001X
Pulmonary Disease Physician
Primary
K9190
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
193019001
—
TX
Enumeration date
12/28/2005
Last updated
04/01/2021
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