MEDICARE: DR. XUEHUI LIU M.D.

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	207R00000X	Internal Medicine Physician	R1574	TX
2	281P00000X	Chronic Disease Hospital	0101240965	VA

General Provider Information

NPI Number	:	1033253554
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. XUEHUI LIU M.D.

Provider Business Mailing Address
First Line	:	4708 ENGLISHTOWN DR
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76016-1880
Country	:	US
Telephone Number	:	682-521-0788
Fax Number	:

Provider Business Practice Location Address
First Line	:	2201 SE LOOP 820
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76119-3483
Country	:	US
Telephone Number	:	817-730-0070
Fax Number	:

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

Provider Enumeration Date	:	02/17/2007
Last Update Date	:	03/15/2017

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