Healthcare Provider Details

I. General information

NPI: 1750594941
Provider Name (Legal Business Name): EDINBURG ANESTHESIA ASSOCIATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/07/2007
Last Update Date: 04/15/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4228 N MCCOLL RD
MCALLEN TX
78504-2523
US

IV. Provider business mailing address

PO BOX 3744
MCALLEN TX
78502-3744
US

V. Phone/Fax

Practice location:
  • Phone: 956-682-4151
  • Fax: 956-682-4154
Mailing address:
  • Phone: 956-682-4151
  • Fax: 956-682-4154

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. YIXIANG LIU
Title or Position: OWNER
Credential: MD
Phone: 956-682-4151