# ENDOVASCULAR LAB PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407482003
- **Authorized official:** DR. JAMES Y LI MD (PRESIDENT)
- **Authorized official phone:** (432) 770-7211

## Contact information

- **Practice address:** 612 N WASHINGTON AVENUE, SUITE 100, ODESSA, TX 79761
- **Practice address phone:** (432) 770-7211
- **Mailing address:** 612 N WASHINGTON AVENUE, ODESSA, TX 79761
- **Mailing address phone:** (432) 770-7211

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | — | NULL | Yes |
| 2086S0129X | Vascular Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/16/2020
- **Last updated:** 08/14/2020