Provider Demographics
NPI:1619408788
Name:LIANG, IRENA (DO)
Entity Type:Individual
Prefix:
First Name:IRENA
Middle Name:
Last Name:LIANG
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8558 CREEKSIDE FOREST DR STE B-100
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77375-2175
Mailing Address - Country:US
Mailing Address - Phone:832-534-7700
Mailing Address - Fax:
Practice Address - Street 1:8558 CREEKSIDE FOREST DR STE B-100
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77375-2175
Practice Address - Country:US
Practice Address - Phone:832-534-7700
Practice Address - Fax:936-266-4159
Is Sole Proprietor?:No
Enumeration Date:2017-03-21
Last Update Date:2024-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXS4338207Q00000X, 207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine