Organization Active NPI

Julia Liaci MD PA

  • Obstetrics & Gynecology Physician
  • Dallas, TX
National Provider Identifier
1568623908
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
L8111 Issued in TX
Legal business name
JULIA LIACI MD PA
Practice address
8210 Walnut Hill LN
Suite 700
Dallas, TX 75231-4405
Phone
(214) 271-4600
Fax
(214) 271-4604
NPI assigned
Jun 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

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

Authorized official

Name
Tammie M Jackson
Title
Billing MGR
Phone
(469) 916-4767

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X L8111 TX Primary

Addresses

Primary practice location

8210 Walnut Hill LN
Suite 700
Dallas, TX 75231-4405

Mailing address

8210 Walnut Hill LN
Suite 700
Dallas, TX 75231-4405
Phone (214) 271-4600

Other identifiers 2

IdentifierTypeStateIssuer
0089MPOtherTXBCBS
165596106MedicaidTX

National Provider Directory

National Provider Directory

Locations

8210 Walnut Hill Ln
Ste 700
Dallas, TX 75231
Phone (214) 271-4604

NPI Registry JSON

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

{
    "created_epoch": "1213747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1568623908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8210 WALNUT HILL LN",
            "address_2": "SUITE 700",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314405",
            "telephone_number": "214-271-4600",
            "fax_number": "214-271-4604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8210 WALNUT HILL LN",
            "address_2": "SUITE 700",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314405",
            "telephone_number": "214-271-4600",
            "fax_number": "214-271-4604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIA LIACI MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-18",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "TAMMIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "BILLING MGR",
        "authorized_official_telephone_number": "469-916-4767"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "L8111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0089MP",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "165596106",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.