Provider Demographics
NPI:1629572847
Name:LIU, HUIWEN (MD)
Entity Type:Individual
Prefix:
First Name:HUIWEN
Middle Name:
Last Name:LIU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23920 KATY FWY STE 330
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-0899
Mailing Address - Country:US
Mailing Address - Phone:281-392-2266
Mailing Address - Fax:281-392-3147
Practice Address - Street 1:23920 KATY FWY STE 330
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-0899
Practice Address - Country:US
Practice Address - Phone:281-392-2266
Practice Address - Fax:281-392-3147
Is Sole Proprietor?:No
Enumeration Date:2018-03-21
Last Update Date:2023-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXT8257207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXT8257OtherTEXAS MEDICAL BOARD
15586072OtherCAQH
TXT8257OtherTEXAS MEDICAL BOARD