Provider Demographics
NPI:1659347516
Name:LIU, ERIC (DC, CCSP)
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:
Last Name:LIU
Suffix:
Gender:M
Credentials:DC, CCSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6628 WILCREST DR
Mailing Address - Street 2:SUITE C
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77072-2039
Mailing Address - Country:US
Mailing Address - Phone:713-484-7400
Mailing Address - Fax:713-484-7405
Practice Address - Street 1:6628 WILCREST DR
Practice Address - Street 2:SUITE C
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77072-2039
Practice Address - Country:US
Practice Address - Phone:713-484-7400
Practice Address - Fax:713-484-7405
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-28
Last Update Date:2024-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8905111NS0005X, 111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No111NS0005XChiropractic ProvidersChiropractorSports Physician
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1463374-01Medicaid
TX146338201Medicaid
TX8A1564Medicare UPIN