Provider Demographics
NPI:1275791303
Name:LIU, HONGBO (MD)
Entity Type:Individual
Prefix:
First Name:HONGBO
Middle Name:
Last Name:LIU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:325 E SONTERRA BLVD STE 110
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258-4055
Mailing Address - Country:US
Mailing Address - Phone:210-402-1222
Mailing Address - Fax:210-402-1224
Practice Address - Street 1:325 E SONTERRA BLVD STE 110
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258-4055
Practice Address - Country:US
Practice Address - Phone:210-402-1222
Practice Address - Fax:210-402-1224
Is Sole Proprietor?:No
Enumeration Date:2008-05-27
Last Update Date:2022-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP5102207X00000X, 207XS0117X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the Spine
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery