MEDICARE: IRENA LIANG DO

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	207Q00000X	Family Medicine Physician	S4338	TX
2	207QA0505X	Adult Medicine Physician	S4338	TX

General Provider Information

NPI Number	:	1619408788
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	IRENA LIANG DO

Provider Business Mailing Address
First Line	:	8558 CREEKSIDE FOREST DR STE B-100
Second Line	:
City	:	THE WOODLANDS
State	:	TX
Zip	:	77375-2175
Country	:	US
Telephone Number	:	832-534-7700
Fax Number	:

Provider Business Practice Location Address
First Line	:	8558 CREEKSIDE FOREST DR STE B-100
Second Line	:
City	:	THE WOODLANDS
State	:	TX
Zip	:	77375-2175
Country	:	US
Telephone Number	:	832-534-7700
Fax Number	:	936-266-4159

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

Provider Enumeration Date	:	03/21/2017
Last Update Date	:	02/02/2024

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Directions to “ IRENA LIANG DO” Practice Location

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