Individual provider Active NPI

Wan Ting Liao

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1629777578
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1193521 Issued in TX
Practice address
9999 Bellaire Blvd Ste 370
Houston, TX 77036-3579
Phone
(713) 270-0909
NPI assigned
Mar 1, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 859256 TX
Family Nurse Practitioner 363LF0000X 1193521 TX Primary

Addresses

Primary practice location

9999 Bellaire Blvd Ste 370
Houston, TX 77036-3579

Mailing address

2701 Hospital Dr
Victoria, TX 77901-5749

Other practice location 1

2701 Hospital Dr
Victoria, TX 77901-5748
Phone (361) 573-9181

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250410002077 TX Practitioner - Nurse Practitioner 3971027095 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
859256TXMDRegistered Nurse
1193521TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wang&Jiang, MD, PA CurrentSince Apr 8, 2025 Accepting new patients

Locations

9999 Bellaire Blvd
Ste 370
Houston, TX 77036
Phone (713) 270-0909

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1677628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743465600000",
    "number": "1629777578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 HOSPITAL DR",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779015749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9999 BELLAIRE BLVD STE 370",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770363579",
            "telephone_number": "713-270-0909"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2701 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Victoria",
            "state": "TX",
            "postal_code": "779015748",
            "country_code": "US",
            "telephone_number": "361-573-9181",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIAO",
        "first_name": "WAN TING",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-01",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "859256",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1193521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.