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NPI Code Detail

MEDICARE: KAIXUN LIU LAC, OMD

MEDICARE:   KAIXUN  LIU  LAC, OMD
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
1171100000XAcupuncturistAC00044TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10021LROTHERTXBCBS GROUP
20015LQOTHERTXBCBS PROVIDER NUMBER
38M8432OTHERTXBCBS PROVIDER NUMBER

General Provider Information

NPI Number : 1073615670
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAIXUN LIU LAC, OMD
Provider Business Mailing Address
First Line : 13480 VETERANS MEMORIAL DR
Second Line : SUITE E-1
City : HOUSTON
State : TX
Zip : 77014-1606
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 13480 VETERANS MEMORIAL DR
Second Line : SUITE E-1
City : HOUSTON
State : TX
Zip : 77014-1606
Country : US
Telephone Number : 281-537-6699
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/02/2006
Last Update Date : 07/08/2007

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Directions to “ KAIXUN LIU LAC, OMD” Practice Location

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