DR. JEFFREY LIDDELL M.D. NPI 1376583955

NPI Information

NPI: 1376583955
Provider Name: DR. JEFFREY LIDDELL, M.D.
Classification: Family Medicine - 207QA0505X
Entity Type: Individual

Specialization: Adult Medicine

Address:
4131 N CENTRAL EXPY
SUITE 440 - FITZHUGH-CENTRAL PROFESSIONAL TOWER
DALLAS, TX
ZIP 75204
Phone: (214) 521-3091
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DR. Jeffrey Liddell, M.D. is an adult medicine family medicine in Dallas, TX. The provider is the National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code. DR. Jeffrey Liddell, M.D. NPI is 1376583955. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4131 N CENTRAL EXPY
SUITE 440 - FITZHUGH-CENTRAL PROFESSIONAL TOWER
DALLAS, TX
ZIP 75204-102
Phone: (214) 521-3091
Fax: (214) 521-2182

The enumeration date for this NPI number is 6/8/2006 and was last updated on 11/23/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207QA0505X	Family Medicine	Adult Medicine	J7809	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	122110304	MEDICAID	TEXAS
2	00201J	MEDICARE ID-TYPE UNSPECIFIED	TEXAS	PHYSICIAN ID

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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