MEDICARE: GEORGE LIU DDS INC

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	1223G0001X	General Practice Dentistry	13908	TX

General Provider Information

NPI Number	:	1801911367
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GEORGE LIU DDS INC

Provider Business Mailing Address
First Line	:	11037 FM 1960 RD W
Second Line	:	SUITE B-3
City	:	HOUSTON
State	:	TX
Zip	:	77065-3600
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	11037 FM 1960 RD W
Second Line	:	SUITE B-3
City	:	HOUSTON
State	:	TX
Zip	:	77065-3600
Country	:	US
Telephone Number	:	281-955-6008
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT-OWNER
Name	:	DR. GEORGE LIU
Credential	:	D.D.S.
Telephone Number	:	281-955-6008

Provider Enumeration Date	:	03/20/2007
Last Update Date	:	08/22/2020

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