Provider Demographics
NPI:1932127123
Name:LIANG, DAVID KUANG (DC)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:KUANG
Last Name:LIANG
Suffix:
Gender:M
Credentials:DC
Other - Prefix:DR
Other - First Name:CHING
Other - Middle Name:KUANG
Other - Last Name:LIANG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DC
Mailing Address - Street 1:814 TWIN CREEK DR
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:TX
Mailing Address - Zip Code:76063
Mailing Address - Country:US
Mailing Address - Phone:972-644-4601
Mailing Address - Fax:972-755-3004
Practice Address - Street 1:4712 DEXTER DR
Practice Address - Street 2:STE 100
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-5289
Practice Address - Country:US
Practice Address - Phone:972-644-4601
Practice Address - Fax:972-755-3004
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-17
Last Update Date:2012-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8713111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX613862OtherPTAN
TX8A7597Medicare PIN
TX613862OtherPTAN