Provider Demographics
NPI:1538673009
Name:LIU, QIAOHONG (CNIM)
Entity Type:Individual
Prefix:
First Name:QIAOHONG
Middle Name:
Last Name:LIU
Suffix:
Gender:F
Credentials:CNIM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5318 WESLAYAN ST STE 195
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77005-1048
Mailing Address - Country:US
Mailing Address - Phone:502-404-1434
Mailing Address - Fax:
Practice Address - Street 1:5318 WESLAYAN ST
Practice Address - Street 2:STE 195
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77005-1048
Practice Address - Country:US
Practice Address - Phone:502-404-1434
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-11-20
Last Update Date:2017-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3438246ZE0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnostic