Provider Demographics
NPI:1184074874
Name:INSTITUTE OF PRECISION PAIN MEDICINE, PLLC
Entity type:Organization
Organization Name:INSTITUTE OF PRECISION PAIN MEDICINE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:LIHERNG
Authorized Official - Middle Name:
Authorized Official - Last Name:LIU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:361-387-0046
Mailing Address - Street 1:5637 CORSICA RD
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78414-6293
Mailing Address - Country:US
Mailing Address - Phone:361-387-0046
Mailing Address - Fax:361-271-4147
Practice Address - Street 1:5637 CORSICA RD
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78414-6293
Practice Address - Country:US
Practice Address - Phone:361-387-0046
Practice Address - Fax:361-271-4147
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-14
Last Update Date:2023-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP2141261QP3300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP3300XAmbulatory Health Care FacilitiesClinic/CenterPain