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Individual

FENG LI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
910 E HOUSTON ST, STE 550, TYLER, TX 75702-8366
(903) 510-8718
Mailing address
PO BOX 846098, DALLAS, TX 75284-6098
(903) 324-6450

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
D67712
MD
207RG0100X
Gastroenterology Physician
Primary
N3833
TX
207RG0100X
Gastroenterology Physician
TEMP
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
204875301
TX
05
414959900
MD
01
8BC405
BCBS OF TEXAS
TX
01
935858-01
CAREFIRST BC/BS
MD
01
S062-0329
CAREFIRST BC/BS REGIONAL
MD
01
TIN PLUS 008
TRICARE
TX
01
TIN PLUS 028
TRICARE TC LINDALE
TX
01
TIN PLUX 001
TRICARE TC CANTON
TX
Enumeration date
02/10/2006
Last updated
10/13/2014
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