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NPI Code Detail

MEDICARE: MR. JEFFREY LIAW

MEDICARE: MR. JEFFREY LIAW
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1568391886
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JEFFREY LIAW
Provider Business Mailing Address
First Line : 5122 SHADYWOOD LN
Second Line :
City : DALLAS
State : TX
Zip : 75209-2206
Country : US
Telephone Number : 214-846-4553
Fax Number :
Provider Business Practice Location Address
First Line : 5122 SHADYWOOD LN
Second Line :
City : DALLAS
State : TX
Zip : 75209-2206
Country : US
Telephone Number : 214-846-4553
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/14/2026
Last Update Date : 05/14/2026

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Directions to “ MR. JEFFREY LIAW ” Practice Location

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