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Individual
LI RAY TENG
Active
Individual
LI RAY TENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
E4714
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00U61E
MEDICARE GROUP NUMBER
TX
05
—
099057402
—
TX
05
—
099057403
—
TX
01
—
099057404
MEDICAID OTHER
TX
01
—
110135210
RAILROAD MEDICARE
TX
01
—
112874603
MEDICAID GROUP NUMBER
TX
Enumeration date
06/03/2006
Last updated
06/16/2016
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