Provider Demographics
NPI:1144775891
Name:LIVER CENTER OF TEXAS, PLLC
Entity Type:Organization
Organization Name:LIVER CENTER OF TEXAS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ABDULLAH
Authorized Official - Middle Name:
Authorized Official - Last Name:MUBARAK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-558-2435
Mailing Address - Street 1:PO BOX 260993
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75026-0993
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:9 MEDICAL PKWY
Practice Address - Street 2:PLAZA 4 STE 206
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75234-7858
Practice Address - Country:US
Practice Address - Phone:214-558-2435
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-23
Last Update Date:2016-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM5390207RI0008X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0008XAllopathic & Osteopathic PhysiciansInternal MedicineHepatologyGroup - Single Specialty