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Organization

ENDOVASCULAR LAB PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JAMES Y LI MD (PRESIDENT)
(432) 770-7211
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary

Other

Enumeration date
03/16/2020
Last updated
08/14/2020
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