Jerry Liles, DO

Family medicine physician in Alice, Texas · NPI 1013934645

Jerry Liles is one of 9 family medicine physicians practicing in Alice, Texas. Jerry Liles practices with Conviva Medical Center Management Of Texas, P.A.

Registry record (NPPES)

NPI
1013934645
Type
Type 1 · Individual
Primary taxonomy
Family Medicine · 207Q00000X
Address on file
1009 E 6th St
Alice, TX 78332-4657
(361) 668-8888
Enumerated
Jul 17, 2006
Record last updated
Dec 16, 2021
License states listed
TX

Medicare (CMS)

Enrollment
Medicare-enrolled in TX
Family Practice
Revalidation due
No date set by CMS

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Practice locations

More family medicine physicians in Alice

Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.