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

Mr. Jeremy D Liu, PA-C

Individual provider Vascular & Interventional Radiology Physician · NPI 1518774777

Mr. Jeremy D Liu, PA-C is a Physician Assistant in Fort Worth, Texas. Qualified in 2024, 2 years ago. Practices with Radiology Associates of North Texas PA, a 341-clinician group and works from 2 locations. Licensed in Texas.

Years since qualifying
2
Licensed in
TX
In the registry since
2024
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

815 Pennsylvania Ave
Fort Worth, TX 76104-2294
Phone: (817) 321-0404
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1500 S Main St, Fort Worth, TX 76104-4917 — (817) 702-3431

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA19003 (TX)
Vascular & Interventional Radiology Physician Taxonomy 2085R0204X · Licence 0 (TX)

Record details

NPI number1518774777
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 11, 2024
Last updated in NPPESJune 19, 2025
Certification dateJune 19, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Radiology Associates Of North Texas Pa — 341 clinicians
Accepts Medicare assignment Not indicated
Practice locations8 on file with Medicare

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