DR. KEVIN LIU (NPI# 1437167046) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437167046 |
| Entity Type | Individual |
| Full Name | DR. KEVIN LIU |
| Credential | M.D. |
| Practice Address |
601 S Main St Suite 200 Keller TX 76248-7029 |
| Practice Telephone | 8177536888 |
| Practice Fax Number | 8177536885 |
| Mailing Telephone | 8177536888 |
| Mailing Fax Number | 8177536885 |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2008-05-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | K7801 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BLUE CROSS BLUE SHIELD | 00N59X | 01 |
| TX | 1036303-06 | 05 | |
| TX | BLUE CROSS BLUE SHIELD | 8K4021 | 01 |
| TX | BCBS | 89078G | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174144208 | Kevin Liu | Dermatology | 1200 S Cedar Crest Blvd, Allentown, PA 18103-6202 | 2020-04-29 |
| 1578192399 | Kevin Liu | Student in an Organized Health Care Education/Training Program | 301 E Main St, Bay Shore, NY 11706-8458 | 2020-04-03 |
| 1972131316 | Kevin Zhu Liu | Student in an Organized Health Care Education/Training Program | 2020 59th St W, Bradenton, FL 34209-4604 | 2020-03-31 |
| 1710483227 | Kevin Xinye Liu | Student in an Organized Health Care Education/Training Program | 55 Fruit St, Boston, MA 02114 | 2018-04-03 |
| 1306364005 | Kevin Liu | Physician Assistant | 1475 Nw 12th Ave, Miami, FL 33136-1002 | 2017-09-01 |
| 1821529306 | Kevin Liu | Student in an Organized Health Care Education/Training Program | 10 Nathan D Perlman Pl, New York, NY 10003-3851 | 2017-03-25 |
| 1255872677 | Kevin Liu | Student in an Organized Health Care Education/Training Program | 2051 Marengo St, Los Angeles, CA 90033-1352 | 2017-03-17 |
| 1861888182 | Kevin Liu | Internal Medicine | 3601 Tvc, Nashville, TN 37232 | 2015-04-14 |
| 1831517671 | Kevin Liu | Internal Medicine | 259 E Erie St Ste 1600, Chicago, IL 60611-3111 | 2014-03-30 |
| 1881030617 | Kevin Xiaobo Liu | Radiology | 510 S Kingshighway Blvd, Saint Louis, MO 63110-1016 | 2013-05-20 |
| Street Address |
601 S MAIN ST SUITE 200 |
| City | KELLER |
| State | TX |
| Zip Code | 76248-7029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447810080 | Julie Ervin | Optometrist | 601 S Main St, Keller, TX 76248-7029 | 2019-06-17 |
| 1639659998 | Connor Orr | Physical Therapy Assistant | 601 S Main St, Keller, TX 76248-7029 | 2018-08-16 |
| 1699184101 | Morgan Diane Strub | Optometrist | 601 S Main St, Suite 250, Keller, TX 76248-7029 | 2014-08-08 |
| 1801234240 | Btdi Jv LLP | Physiological Laboratory | 601 S Main St, Ste 100, Keller, TX 76248-7029 | 2013-06-07 |
| 1467793075 | Baylor Regional Medical Center At Grapevine | Clinic/Center | 601 S Main St, Suite 100, Keller, TX 76248-7029 | 2013-03-06 |
| 1891092821 | Cynthia Campbell | Occupational Therapist | 601 S Main St, Keller, TX 76248-7029 | 2011-02-28 |
| 1588985683 | Keller Dermatology, P.a. | Clinic/Center | 601 S Main St, Suite 115, Keller, TX 76248-7029 | 2010-06-13 |
| 1588823363 | Elizabeth Leigh Bah | Family Medicine | 601 S Main St, Suite 200, Keller, TX 76248-7029 | 2008-06-05 |
| 1528226552 | Larry P Tadlock | Dentist | 601 S Main St, Suite 240, Keller, TX 76248-7029 | 2008-05-27 |
| 1396925798 | Sonya Conner | Dental Hygienist | 601 S Main St, Suite 220, Keller, TX 76248-7029 | 2007-11-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316556145 | Tyler Woodall | Counselor | 1668 Keller Parkway, Suite 200, Keller, TX 76248 | 2020-07-28 |
| 1396366456 | Kelcie Dao | Speech-Language Pathologist | 630 B Stoneglen Drive, Keller, TX 76248 | 2020-04-29 |
| 1003447384 | Alliance Orthotics and Prosthetics, L.L.C. | Prosthetic/Orthotic Supplier | 101 Bourland Rd Suite A, Keller, TX 76248 | 2020-01-27 |
| 1033759832 | Everest Rehabilitation Hospital Keller, LLC | Rehabilitation Hospital | 955 S. Main St., Keller, TX 76248 | 2020-01-09 |
| 1750934253 | Pediatric Dentistry of Keller Pllc | Dentist | 1627 Keller Parkway, Suite 100, Keller, TX 76248 | 2019-07-23 |
| 1306345293 | Jaqui Otto | Psychologist | 1664 Keller Parkway Ste 102, Keller, TX 76248 | 2018-02-06 |
| 1194223404 | Hartman Samuel Ian Watson | Chiropractor | 1211 S Main St Ste 300h, Keller, TX 76248 | 2018-02-01 |
| 1760900997 | Md First Watch Healthcare Pllc | Clinic/Center | 310 Keller Parkway, Keller, TX 76248 | 2017-09-08 |
| 1588104541 | Elias Alharari | Nurse Practitioner | 651 S Main St Ste 102, Keller, TX 76248 | 2017-02-24 |
| 1730631698 | Alliance Counseling and Education Center | Social Worker | 1540 Keller Parkway, Ste. 108-205, Keller, TX 76248 | 2016-10-26 |
| Find all providers in zip 76248 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043755457 | Xtreme Medical Rehab | Family Medicine | 1710 Rufe Snow Dr, 120, Keller, TX 76248-5745 | 2016-12-21 |
| 1679016984 | T Off Men's Health Keller, LLC | Family Medicine | 8739 Davis Blvd, A, Keller, TX 76248-0309 | 2016-11-18 |
| 1013381250 | First Keller Healthcare | Family Medicine | 891 E. Keller Pkwy Ste 101, Keller, TX 76248-2486 | 2015-11-27 |
| 1770898306 | William L. Musgrave | Family Medicine | 1750 Keller Parkway, Keller, TX 76248-3704 | 2010-08-06 |
| 1265600308 | Bestawrous Family Clinic | Family Medicine | 1200 Keller Pkwy, 100, Keller, TX 76248 | 2008-02-12 |
| 1669666822 | Ryan Buffington | Family Medicine | 1141 Keller Pkwy Ste B, Keller, TX 76248-1628 | 2007-08-30 |
| 1265626550 | Buffington Family Medicine Pllc | Family Medicine | 12461 Timberland Boulevard, Suite 309, Keller, TX 76177 | 2007-08-30 |
| 1275747842 | Yun Tzu Tran | Family Medicine | 8553 N. Beach St Pmb 379, Keller, TX 76244 | 2007-05-10 |
| 1194882258 | Tommy Brent Duncan | Family Medicine | 3529 Heritage Trace Pkwy, Ste 137, Keller, TX 76248-0970 | 2007-01-01 |
| 1932260668 | Smita Kasat Rumalla | Family Medicine | 816 Keller Pkwy Ste 102, Keller, TX 76248-2479 | 2006-12-13 |
| Find all providers in KELLER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.