Organization
JAMES Y LI MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES Y LI MD (OWNER)
(432) 332-9263
Entity
Organization
Contact information
Practice address
540 W 5TH ST, SUITE #360, ODESSA, TX 79761-5034
(432) 332-9263
(432) 332-9264
Mailing address
540 W 5TH ST, SUITE #360, ODESSA, TX 79761-5034
(432) 332-9263
(432) 332-9264
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
L2417
TX
2086S0129X
Vascular Surgery Physician
Primary
L2417
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
176084501
—
TX
Enumeration date
12/02/2005
Last updated
02/22/2012
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