Individual provider · NPI-1

Dr. Kevin Xiaobo Liu, MD

Radiology, Diagnostic Radiology · Addison, TX

NPI number1881030617
StatusActive
Last updated in NPPESFeb 10, 2021

Details

NPI
1881030617
Entity type
Individual (NPI-1)
Name
Dr. Kevin Xiaobo Liu
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
May 20, 2013
Certification date
Feb 10, 2021
Last updated
Feb 10, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2085R0202X Radiology, Diagnostic RadiologyS0009TXYes
2085R0202X Radiology, Diagnostic Radiology2017043385MO

Practice location

4450 Sojourn Dr Ste 200
Addison, TX 75001-5000

Phone 972-733-0014 · Fax 972-733-0125

Mailing address

Po Box 911230
Dallas, TX 75391-1230

Phone 972-997-8000 · Fax 972-234-2987

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