Christopher Plorgo Liwanag

Primary specialty

SpecialistTaxonomy code 174400000X

License

1212176 Issued in TX

Practice address

2100 N Greenville Ave
Richardson, TX 75082-4345

Phone

(972) 664-0701

Fax

(972) 664-0003

NPI assigned

Oct 10, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. Christopher Plorgo Liwanag Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1349827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349827200000",
    "number": "1730431040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 CLAYMORE AVE",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750430911",
            "telephone_number": "469-831-5042",
            "fax_number": "972-664-0003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 N GREENVILLE AVE",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750824345",
            "telephone_number": "972-664-0701",
            "fax_number": "972-664-0003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIWANAG",
        "first_name": "CHRISTOPHER",
        "middle_name": "PLORGO",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-10-10",
        "last_updated": "2012-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "1212176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTOPHER",
            "last_name": "LIWANAG",
            "middle_name": "PLORGO",
            "prefix": "MR.",
            "credential": "P.T",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Specialist in Richardson, TX
• Providers in Richardson, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2012; 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.