MEDICARE: JIANGPING LIU MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084N0400X	Neurology Physician	L4042	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	130026309	OTHER		RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1518971027
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JIANGPING LIU MD

Provider Business Mailing Address
First Line	:	PO BOX 961205
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76161-1205
Country	:	US
Telephone Number	:	817-740-8400
Fax Number	:	817-924-6201

Provider Business Practice Location Address
First Line	:	1307 8TH AVE
Second Line	:	STE 610
City	:	FORT WORTH
State	:	TX
Zip	:	76104-4142
Country	:	US
Telephone Number	:	817-924-6200
Fax Number	:	817-924-6201

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/28/2006
Last Update Date	:	09/30/2011

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Directions to “ JIANGPING LIU MD” Practice Location

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