Provider Demographics
NPI:1134446172
Name:LIU, YAN (MD, PHD)
Entity type:Individual
Prefix:DR
First Name:YAN
Middle Name:
Last Name:LIU
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6811 AUSTIN CENTER BLVD STE 410
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78731-3157
Mailing Address - Country:US
Mailing Address - Phone:512-324-2705
Mailing Address - Fax:512-324-2706
Practice Address - Street 1:6811 AUSTIN CENTER BLVD STE 410
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78731-3157
Practice Address - Country:US
Practice Address - Phone:512-324-2705
Practice Address - Fax:512-324-2706
Is Sole Proprietor?:No
Enumeration Date:2010-04-30
Last Update Date:2020-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101264271207RC0000X, 207UN0901X
TXBP1-0036665207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207UN0901XAllopathic & Osteopathic PhysiciansNuclear MedicineNuclear Cardiology