Organization
COMMUNITY RETINA GROUP PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HELEN K. LI MD (MD)
(281) 407-3033
Entity
Organization
Contact information
Practice address
6550 FANNIN ST, SUITE 2317, HOUSTON, TX 77030-2723
(281) 407-3033
(281) 763-2623
Mailing address
6550 FANNIN STREET, SUITE 2317, HOUSTON, TX 77030-2723
(281) 407-3033
(281) 763-2623
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
H1981
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
217695001
—
TX
01
—
H1981
MEDICAL LICENSE
TX
Enumeration date
03/03/2010
Last updated
01/27/2012
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