Liao, Tina Yuling

Liao, Tina Yuling is an individual health care provider with primary practice located at 1856 E Florence Blvd Ste 1 , Casa Grande AZ 85122-5303. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adolescent Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Liao, Tina Yuling can be contacted via phone (520) 836-5036.

Contact Information

Primary practice address
1856 E Florence Blvd Ste 1 Casa Grande AZ 85122-5303
Phone: (520) 836-5036
Fax: (520) 316-0365
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 41634 Arizona
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 233363 New York
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 41634 Arizona

Profile Details

NPI number 1063636512
LBN Legal business name Liao, Tina Yuling
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2007
Last updated Dec 2nd, 2021 - about 4 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 1063636512 NPPES
Arizona MEDICAID 420824

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