Provider Demographics
NPI:1477782019
Name:MIN-SHERN LIU D. O., P.A.
Entity Type:Organization
Organization Name:MIN-SHERN LIU D. O., P.A.
Other - Org Name:FAMILYCARE CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MIN-SHERN
Authorized Official - Middle Name:
Authorized Official - Last Name:LIU
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:713-988-8500
Mailing Address - Street 1:7810 BELLAIRE BLVD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-4936
Mailing Address - Country:US
Mailing Address - Phone:713-988-8500
Mailing Address - Fax:713-988-8501
Practice Address - Street 1:7810 BELLAIRE BLVD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-4936
Practice Address - Country:US
Practice Address - Phone:713-988-8500
Practice Address - Fax:713-988-8501
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-02
Last Update Date:2012-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ7052207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty