Joseph Matthew Liechty
Vascular Surgeon
4716 Alliance Blvd Ste 200
Plano
, Texas 75093-5306
Joseph Matthew Liechty
Vascular Surgeon
4716 Alliance Blvd Ste 200
Plano
, Texas 75093-5306
(214) 823-5290
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About
Features
Specialties
- Vascular Surgeon
Languages spoken
- English
Location
First Address
- Joseph Matthew Liechty
- 621 N Hall St Ste 100
- Dallas, TX
- Zip : 75226-1305
- Fax : (214) 823-5290
- Phone : (214) 821-9600
Second Address
- Joseph Matthew Liechty
- 4716 Alliance Blvd Ste 200
- Plano, TX
- Zip : 75093-5306
- Fax : (972) 665-4711
- Phone : (972) 665-9100
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0129X | Vascular Surgeon | 46920 | KY |
National Provider Identifier
| NPI | 1043416316 |
|---|---|
| Provider Name | Joseph Matthew Liechty |
| First Address | Dallas, TX 75226-1305 |
| Second Address | Plano, TX 75093-5306 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/06/2007 |
| Last Update Date | 21/09/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.