Healthcare Provider Details

I. General information

NPI: 1871571547
Provider Name (Legal Business Name): YIXIANG LIU M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/04/2006
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 NumberK6105
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License NumberK6105
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: