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Individual

DR. FAN LI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
6807 EMMETT F LOWRY EXPY, 103, TEXAS CITY, TX 77591-2546
(409) 938-1770
(409) 938-0701
Mailing address
6807 EMMETT F LOWRY EXPY, 103, TEXAS CITY, TX 77591-2546
(409) 938-1770
(409) 938-0701

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
L0378
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
042121606
TX
05
042121607
TX
Enumeration date
09/29/2005
Last updated
02/18/2013
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