institution
Lu Liu First Assist Pllc
Surgical Physician Assistant in Grand Prairie, Texas
NPI 1598099319

Lu Liu First Assist Pllc is a Surgical Physician Assistant based in Grand Prairie, TX and is specialized in Surgical. Lu Liu First Assist Pllc practices in Grand Prairie, TX. The NPI Number for Lu Liu First Assist Pllc is 1598099319 and holds a License No. PA02204 (Texas).

The current practice location address for Lu Liu First Assist Pllc is 615 Teresa Ln, Grand Prairie, TX and can be reached out via phone at 972-264-8575 and via fax at 972-264-8575.

Location: 615 Teresa Ln, Grand Prairie, TX, 75052-2816
institution
Provider Profile Details
NPI Number
1598099319
Provider Name
Lu Liu First Assist Pllc
Credential
Provider Entity Type
Organization
Address
615 Teresa Ln, Grand Prairie, TX, 75052-2816
Phone Number
972-264-8575
Fax Number
972-264-8575
Provider Enumeration Date
09/25/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
187944701 01 TX INDIVIDUAL MEDICAID NUMBER
82N820 01 TX INDIVIDUAL MEDICARE PIN NUMBER
S60053 01 TX INDIVIDUAL MEDICARE UPIN NUMBER
1093776635 01 INDIVIDUAL NPI NUMBER
institution
Provider Business Practice Location Address Details
Address
615 Teresa Ln
City
State
Zip
75052-2816
Phone Number
972-264-8575
Fax Number
972-264-8575
person
Provider Business Mailing Address Details
Address
615 Teresa Ln
City
State
Zip
75052-2816
Phone Number
972-264-8575
Fax Number
972-264-8575
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
PA02204 (Texas)
Definition
Definition to come...
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