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Export Provider Record NPI 1013934645
Jerry LilesD.O.
Active
NPI Number1013934645
NPI TypeNPI-1 Individual
SpecialtyFamily Medicine
Provider Details
NPI1013934645
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2006-07-17
Last Updated2021-12-16
Mailing Address6101 Blue Lagoon Dr Ste 400
Miami, FL 33126-2051
United States
Phone: (305) 500-2000
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Primary Practice Address1009 E 6th St
Alice, TX 78332-4657
United States
Phone: (361) 668-8888
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes207Q00000X – Family MedicineTXF1749
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About NPI 1013934645

Jerry Liles D.O. is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1013934645. The primary specialty listed is Family Medicine. The provider is located in Alice, TX. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-07-17. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1013934645?

NPI 1013934645 belongs to Jerry Liles D.O., a Family Medicine in Alice, TX. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1013934645 active?

The current status of NPI 1013934645 in the NPPES registry is Active. The record was last updated on 2021-12-16.

What specialty is NPI 1013934645?

NPI 1013934645 is classified under the taxonomy Family Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1013934645?

You can verify NPI 1013934645 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1013934645?

The primary practice address on file for NPI 1013934645 is 1009 E 6th St, Alice, TX 78332-4657. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1013934645 issued?

NPI 1013934645 was first issued (enumerated) on 2006-07-17. The NPPES record was last updated on 2021-12-16.

Practice Location Map

Jerry Liles is located at 1009 E 6th St, Alice, TX. Use the map below to find directions or verify the practice location.

📍 1009 E 6th St, Alice, TX 78332-4657  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Jerry Liles. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1013934645. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Family MedicineF1749TX
Data Verified from CMS NPPES Last synced: 2026-07-23 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162