Dr David Liao Orthopaedic Center LLC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

K4485 Issued in TX

Legal business name

DR DAVID LIAO ORTHOPAEDIC CENTER LLC

Practice address

3900 Joe Ramsey Blvd E
BLDG 1
Greenville, TX 75401-7727

Phone

(903) 454-9900

Fax

(903) 454-9909

NPI assigned

Jan 7, 2008

Last updated

Oct 4, 2019By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

David Y Liao, DO

Title

Sole Member

Phone

(903) 454-9900

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1199664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570147200000",
    "number": "1174708440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 935",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754030935",
            "telephone_number": "903-454-9900",
            "fax_number": "903-454-9909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 JOE RAMSEY BLVD E",
            "address_2": "BLDG 1",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754017727",
            "telephone_number": "903-454-9900",
            "fax_number": "903-454-9909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR DAVID LIAO ORTHOPAEDIC CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-07",
        "last_updated": "2019-10-04",
        "status": "A",
        "authorized_official_last_name": "LIAO",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "903-454-9900",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "K4485",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8J5170",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "161728401",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "F04799",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Orthopaedic Surgery Physician in Greenville, TX
• Providers in Greenville, TX by specialty
• Orthopaedic Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.