Healthcare Provider Details

I. General information

NPI: 1316860562
Provider Name (Legal Business Name): TIFFANY LIEU, MD, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2026
Last Update Date: 08/04/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4100 ALPHA RD STE 650
FARMERS BRANCH TX
75244-4381
US

IV. Provider business mailing address

4100 ALPHA RD STE 650
FARMERS BRANCH TX
75244-4381
US

V. Phone/Fax

Practice location:
  • Phone: 972-243-5437
  • Fax:
Mailing address:
  • Phone: 972-243-5437
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: TIFFANY LIEU
Title or Position: OWNER
Credential: MD
Phone: 214-334-0799