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Organization

EILEEN LI MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
EILEEN LI MD (OWNER)
(432) 332-7337
Entity
Organization

Contact information

Practice address
540 W 5TH ST, SUITE 360, ODESSA, TX 79761-5034
(432) 332-7337
(432) 332-9264
Mailing address
540 W 5TH ST, SUITE 360, ODESSA, TX 79761-5034
(432) 332-7337
(432) 332-9264

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
M1882
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
180301701
TX
Enumeration date
05/03/2006
Last updated
02/23/2012
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