Provider Demographics
NPI:1831181387
Name:LIEF, DAVID ALAN (DPM)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:ALAN
Last Name:LIEF
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:615 N. O'CONNOR RD
Mailing Address - Street 2:STE 2
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75061-7597
Mailing Address - Country:US
Mailing Address - Phone:972-259-4743
Mailing Address - Fax:972-259-4745
Practice Address - Street 1:615 N. O'CONNOR RD
Practice Address - Street 2:SUITE 2
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75061-7597
Practice Address - Country:US
Practice Address - Phone:972-259-4743
Practice Address - Fax:972-259-4745
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-19
Last Update Date:2008-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0390213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX018762701Medicaid
TX00K591Medicare PIN
T14415Medicare UPIN
TX2277420001Medicare NSC
TX018762701Medicaid