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

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

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Radiology Associates of North Texas PA

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 341 clinicians in the practice; 12 are shown here.

Other providers in Fort Worth