Provider Demographics
NPI:1790348787
Name:LIAO, HOWARD
Entity Type:Individual
Prefix:
First Name:HOWARD
Middle Name:
Last Name:LIAO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5850 RANCHESTER DR STE 268
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-2451
Mailing Address - Country:US
Mailing Address - Phone:832-866-8801
Mailing Address - Fax:713-772-6619
Practice Address - Street 1:5850 RANCHESTER DR STE 268
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-2451
Practice Address - Country:US
Practice Address - Phone:832-866-8801
Practice Address - Fax:713-772-6619
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-16
Last Update Date:2019-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care