Provider Demographics
NPI:1376532929
Name:LIU, JAMES HAO-YUANG (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:HAO-YUANG
Last Name:LIU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:JAMES
Other - Middle Name:H
Other - Last Name:LIU
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:17450 ST LUKES WAY
Mailing Address - Street 2:STE 200
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77384-8044
Mailing Address - Country:US
Mailing Address - Phone:281-203-5015
Mailing Address - Fax:936-271-2223
Practice Address - Street 1:17450 ST LUKES WAY
Practice Address - Street 2:200
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77384-8044
Practice Address - Country:US
Practice Address - Phone:281-203-5015
Practice Address - Fax:936-271-2223
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-17
Last Update Date:2022-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK9333207YP0228X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YP0228XAllopathic & Osteopathic PhysiciansOtolaryngologyPediatric Otolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX038785401Medicaid
TX571780OtherBEECHSTREET
TX81445NMedicare PIN
TXH12066Medicare UPIN
TX571780OtherBEECHSTREET