Individual
LILY FU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
15655 CYPRESS WOOD MEDICAL DR, SUITE 100, HOUSTON, TX 77014-1471
(713) 442-1700
Mailing address
11511 SHADOW CREEK PKWY, PEARLAND, TX 77584-7298
(713) 442-0000
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
M4785
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
194393801
—
TX
05
—
194393802
—
TX
01
—
8BE050
BCBS
TX
Enumeration date
05/02/2007
Last updated
06/07/2021
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