MEDICARE: CHRISTOPHER LIAO

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	363LF0000X	Family Nurse Practitioner	AP131293	TX

General Provider Information

NPI Number	:	1790136935
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER LIAO

Provider Business Mailing Address
First Line	:	3314 FAIR FALLS DR
Second Line	:
City	:	KINGWOOD
State	:	TX
Zip	:	77345-5495
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8504 SCHULLER RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77093-7514
Country	:	US
Telephone Number	:	713-696-5900
Fax Number	:

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

Provider Enumeration Date	:	06/29/2016
Last Update Date	:	07/23/2016

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Directions to “ CHRISTOPHER LIAO ” Practice Location

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