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Ethan Liu

NPI 1275385601 · on the registry since 2024 · sole proprietor

Practice

Address
4702 Boulder Dr
Parker, TX 75002
Phone
(805) 559-7777

Registry record

Primary taxonomy
343900000X
343900000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-04-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas