Provider Demographics
NPI:1912055047
Name:LIU, JANE XIAOYU (LICAC)
Entity type:Individual
Prefix:MS
First Name:JANE
Middle Name:XIAOYU
Last Name:LIU
Suffix:
Gender:F
Credentials:LICAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:5850 TOWN AND COUNTRY BLVD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-6942
Mailing Address - Country:US
Mailing Address - Phone:214-893-4321
Mailing Address - Fax:972-788-2328
Practice Address - Street 1:5850 TOWN AND COUNTRY BLVD
Practice Address - Street 2:SUITE 101
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-6942
Practice Address - Country:US
Practice Address - Phone:214-893-4321
Practice Address - Fax:972-788-2328
Is Sole Proprietor?:No
Enumeration Date:2007-01-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAC00462171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist