DR. JEFFREY LIDDELL (NPI# 1376583955) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376583955 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY LIDDELL |
| Credential | M.D. |
| Practice Address |
4131 N Central Expy Suite 440 - Fitzhugh-central Professional Tower Dallas TX 75204-2102 |
| Practice Telephone | 2145213091 |
| Practice Fax Number | 2145212182 |
| Mailing Telephone | 2145213091 |
| Mailing Fax Number | 2145212182 |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2010-11-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
J7809 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 122110304 | 05 |
| Street Address |
4131 N CENTRAL EXPY SUITE 440 - FITZHUGH-CENTRAL PROFESSIONAL TOWER |
| City | DALLAS |
| State | TX |
| Zip Code | 75204-2102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174527964 | Benjamin Kim | Specialist | 4131 N Central Expy, Ste 435, Dallas, TX 75204-2102 | 2005-06-09 |
| 1881827475 | Strong Eye Care, P.C. | Ophthalmology | 4131 N Central Expy, Suite 725, Dallas, TX 75204-2102 | 2009-08-28 |
| 1427253285 | Drs. Porter and Sone & Associates, Pa | Anesthesiology | 4131 N Central Expy, Suite 435, Dallas, TX 75204-2102 | 2007-06-20 |
| 1861696445 | Rene Ernesto Muro | Anesthesiology | 4131 N Central Expy, Suite 435, Dallas, TX 75204-2102 | 2007-06-14 |
| 1326166083 | Bradley Strong | Ophthalmology | 4131 N Central Expy, Suite 725, Dallas, TX 75204-2102 | 2007-03-27 |
| 1538245444 | Margaret C Kaufmann | Psychiatry & Neurology | 4131 N Central Expy, Suite 840, Dallas, TX 75204-2102 | 2006-10-31 |
| 1295831592 | Calvin Chan | Anesthesiology | 4131 N Central Expy, Suite 435, Dallas, TX 75204-2102 | 2006-09-15 |
| 1861505414 | Benjamin Quenzer | Specialist | 4131 N Central Expy, Suite 435, Dallas, TX 75204-2102 | 2006-08-17 |
| 1245249572 | Betty Katherine Armstrong | Psychologist | 4131 N Central Expy, Suite 840, Dallas, TX 75204-2102 | 2006-08-05 |
| 1255378691 | Michael Shane Kohanski | Anesthesiology | 4131 N Central Expy, Suite 435, Dallas, TX 75204-2102 | 2006-06-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164020350 | Christina Wilder | Nurse Practitioner | 821 Allen Street Apt 424, Dallas, TX 75204 | 2020-10-11 |
| 1710441803 | Axownal Monitoring, Pllc | Electrodiagnostic Medicine | 2633 Mckinney Ave Ste 130 #329, Dallas, TX 75204 | 2019-01-23 |
| 1275026221 | Taylor Houser | Advanced Practice Midwife | 3611 Swiss Ave Ste 200, Dallas, TX 75204 | 2018-06-13 |
| 1407372147 | Regan Paulsen | Counselor | 4144 N. Central Expressway 955, 955, Dallas, TX 75204 | 2017-08-15 |
| 1639621311 | Pat Thi Nguyen | Nurse Practitioner | 3133 Lemmon Ave East, Dallas, TX 75204 | 2016-10-28 |
| 1770957896 | Dendrite Monitoring Services, Pllc | Electrodiagnostic Medicine | 2633 Mckinney Ave, Ste 130 # 335, Dallas, TX 75204 | 2015-12-01 |
| 1245609858 | Heather Eileen Li | Pharmacist | 2830 State St, Dallas, TX 75204 | 2015-09-24 |
| 1437527223 | Christy Walker | Nurse Practitioner | 2420 Clark St #703, Dallas, TX 75204 | 2015-09-10 |
| 1740678077 | Margaret Dutton | Physical Therapist | 4200 Live Oak, Dallas, TX 75204 | 2015-01-09 |
| 1639579659 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 3133 Lemmon Ave E, Dallas, TX 75204 | 2014-08-27 |
| Find all providers in zip 75204 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316427420 | Angela Dee Killeen-hirschhorn | Family Medicine | 11909 Preston Rd Ste 286, Dallas, TX 75230-6140 | 2018-08-17 |
| 1457712937 | Martin Kaplan | Family Medicine | 4655 Christopher Pl, Dallas, TX 75204-1610 | 2016-03-11 |
| 1205177417 | Larry Wayne Gibbons | Family Medicine | 12330 Preston Road, Dallas, TX 75230 | 2013-03-13 |
| 1689847014 | Kenneth R Dority Do Pa | Family Medicine | 8414 Flower Meadow Dr, Dallas, TX 75243-7424 | 2008-04-07 |
| 1346435062 | Claire C Leggatt | Family Medicine | 5411 W Mockingbird Ln, Dallas, TX 75209-5607 | 2007-09-06 |
| 1447476874 | Nicolas Alfonso Padron | Family Medicine | 1000 Emerald Isle Dr, Dallas, TX 75218-3952 | 2007-04-17 |
| 1669594834 | Virginia Porras | Family Medicine | 2701 S Hampton Rd Ste 101, Dallas, TX 75224-2363 | 2007-04-06 |
| 1760528251 | James Bruce Wright | Family Medicine | 8585 N Stemmons Fwy, Suite 720, Dallas, TX 75247-3836 | 2007-01-30 |
| 1093897316 | Jennifer Ruth Kessmann | Family Medicine | 12240 Inwood Rd Ste 500, Dallas, TX 75244-8007 | 2006-10-19 |
| 1720172265 | Stefanie Joy Mccann | Family Medicine | 18800 Preston Road, Suite 314, Dallas, TX 75252 | 2006-10-02 |
| Find all providers in DALLAS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.