Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LA2100X | Nurse Practitioner - Acute Care | 1035473 | TX |
Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | 1035473 | TX |
NPI | 1598334286 |
---|---|
Provider Name | Tao Liu |
First Address | Houston, TX 77079-2205 |
Second Address | Houston, TX 77094-1110 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/06/2021 |
Last Update Date | 18/06/2021 |