| Dr. Wen Liu Inc. | |
|
8001 Youree Drive Suite 880 Shreveport LA 71115 | |
| (318) 798-3328 | |
| (318) 798-9729 |
| Full Name | Dr. Wen Liu Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 8001 Youree Drive, Shreveport, Louisiana |
| Authorized Official Name and Position | Wen Liu (CEO) |
| Authorized Official Contact | 3187983328 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Wen Liu Inc. 8001 Youree Drive Suite 880 Shreveport LA 71115 Ph: (318) 798-3328 | Dr. Wen Liu Inc. 8001 Youree Drive Suite 880 Shreveport LA 71115 Ph: (318) 798-3328 |
| NPI Number | 1497847008 |
|---|---|
| Provider Enumeration Date | 09/29/2006 |
| Last Update Date | 06/29/2010 |
| Medicare PECOS PAC ID | 4587618392 |
|---|---|
| Medicare Enrollment ID | O20050304000139 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497847008 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Wen Liu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336328202 PECOS PAC ID: 7113971938 Enrollment ID: I20050304000155 |
| Provider Name | Lindsey Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528409059 PECOS PAC ID: 6800027046 Enrollment ID: I20200914000323 |
| Provider Name | Kendra Womack Halsell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316686520 PECOS PAC ID: 0244610822 Enrollment ID: I20220629002896 |
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