Liddell, Jeffrey

Liddell, Jeffrey is an individual health care provider with primary practice located at 4131 N Central Expy Suite 440 - Fitzhugh-Central Professional Tower, Dallas TX 75204-2102. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Medicine, which is considered as his primary health care specialty. Liddell, Jeffrey can be contacted via phone (214) 521-3091.

Contact Information

Primary practice address
4131 N Central Expy Suite 440 - Fitzhugh-Central Professional Tower Dallas TX 75204-2102
Phone: (214) 521-3091
Fax: (214) 521-2182
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X J7809 Texas

Profile Details

NPI number 1376583955
LBN Legal business name Liddell, Jeffrey
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2006
Last updated Nov 23rd, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376583955 NPPES
Texas MEDICAID 122110304

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