1932127123 NPI number — DR. DAVID KUANG LIANG DC

Table of content: DR. DAVID KUANG LIANG DC (NPI 1932127123)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1932127123 NPI number — DR. DAVID KUANG LIANG DC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LIANG
Provider First Name:
DAVID
Provider Middle Name:
KUANG
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
DC
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
LIANG
Provider Other First Name:
CHING
Provider Other Middle Name:
KUANG
Provider Other Name Prefix Text:
DR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
DC
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1932127123
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/31/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
814 TWIN CREEK DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MANSFIELD
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
76063
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
972-644-4601
Provider Business Mailing Address Fax Number:
972-755-3004

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4712 DEXTER DR
Provider Second Line Business Practice Location Address:
STE 100
Provider Business Practice Location Address City Name:
PLANO
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75093-5289
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
972-644-4601
Provider Business Practice Location Address Fax Number:
972-755-3004
Provider Enumeration Date:
07/17/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X , with the licence number:  8713 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 613862 . This is a "PTAN" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".




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