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Contact Information

KIM LIEU
5737 DIAMOND VALLEY DR
FORT WORTH, TX76179-7606
 Phone: 316-573-3616
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Compounded Sterile Preparations

1835C0207X
Indicates primary specialty

NPI Profile & details for KIM LIEU · (Female)

NPI # 1659214948
Status Active
Credentials
Entity Individual
Enumeration date 04/11/2026
Last updated 04/11/2026 - About 2 months ago
Sole proprietor 1 Yes
Identifiers
  • TX License # 60157
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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