Provider Demographics
NPI:1740473248
Name:LIEN, THAO C (OD)
Entity type:Individual
Prefix:
First Name:THAO
Middle Name:C
Last Name:LIEN
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
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Mailing Address - Street 1:3705 MEDICAL PKWY STE 410
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78705-1023
Mailing Address - Country:US
Mailing Address - Phone:512-454-5851
Mailing Address - Fax:512-454-5853
Practice Address - Street 1:3705 MEDICAL PKWY STE 410
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78705-1023
Practice Address - Country:US
Practice Address - Phone:512-454-5851
Practice Address - Fax:512-454-5853
Is Sole Proprietor?:No
Enumeration Date:2007-08-20
Last Update Date:2008-08-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX7119T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist