Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jerry Liles, DO

Individual provider Family Medicine Physician · NPI 1013934645

Jerry Liles, DO is a Family Practice in Alice, Texas. Graduated from Kansas City University of Med & Biosciences, College of Osteo Med in 1978, 48 years ago. Practices with Conviva Medical Center Management of Texas, PA, a 148-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
48
Trained at
Kansas City University of Med & Biosciences, College of Osteo Med
Licensed in
TX
In the registry since
2006
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1009 E 6th St
Alice, TX 78332-4657
Phone: (361) 668-8888
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence F1749 (TX)

Record details

NPI number1013934645
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedJuly 17, 2006
Last updated in NPPESDecember 16, 2021
Certification dateDecember 16, 2021
Mailing address6101 Blue Lagoon Dr Ste 400, Miami, FL 33126-2051

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Also practisesEMERGENCY MEDICINE
Medical schoolKANSAS CITY UNIVERSITY OF MED & BIOSCIENCES, COLLEGE OF OSTEO MED
Graduated 1978 (48 years in practice)
Group practice Conviva Medical Center Management Of Texas, P.A. — 148 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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