Individual
FANG FANG LIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1500 CITYWEST BLVD, HOUSTON, TX 77042
(713) 620-4000
(713) 458-4229
Mailing address
PO BOX 840853, DALLAS, TX 75284-0853
(972) 233-1999
(972) 233-3666
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
077193
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
AP118371
TX
367500000X
Certified Registered Nurse Anesthetist
ARNP3162962
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
208331301
—
TX
01
—
8522UU
BLUE CROSS BLUE SHIELD
TX
01
—
P00970037
RAILROAD MEDICARE
TX
Enumeration date
01/12/2007
Last updated
06/04/2018
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