Provider Demographics
NPI:1639645831
Name:LIU, MINGHUEI Z (DACM, L AC)
Entity Type:Individual
Prefix:
First Name:MINGHUEI
Middle Name:Z
Last Name:LIU
Suffix:
Gender:M
Credentials:DACM, L AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2700 TIBBETS DR STE 300
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:TX
Mailing Address - Zip Code:76022-5938
Mailing Address - Country:US
Mailing Address - Phone:817-873-8963
Mailing Address - Fax:
Practice Address - Street 1:2700 TIBBETS DR STE 300
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:TX
Practice Address - Zip Code:76022-5938
Practice Address - Country:US
Practice Address - Phone:817-873-8963
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-16
Last Update Date:2021-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAC01864171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist