Basic Information
| Provider Information | |||||||||
| NPI: | 1952502759 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | LIAW | ||||||||
| FirstName: | WINSTON | ||||||||
| MiddleName: | R | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 205 E UNIVERSITY AVE STE 200 | ||||||||
| Address2: | |||||||||
| City: | GEORGETOWN | ||||||||
| State: | TX | ||||||||
| PostalCode: | 786266821 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5126860207 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 4349 MARTIN LUTHER KING BLVD HEALTH 2 BLDG SUITE 1001E | ||||||||
| Address2: | |||||||||
| City: | HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 772042043 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7137439682 | ||||||||
| FaxNumber: | 7137431049 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/30/2007 | ||||||||
| LastUpdateDate: | 08/01/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 08/01/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 0116018399 | VA | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | R2908 | TX | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.