Individual
DR. JAMES Y LI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
612 N WASHINGTON AVE STE 200, ODESSA, TX 79761-4436
(432) 332-9263
(432) 332-9264
Mailing address
612 N WASHINGTON AVE STE 200, ODESSA, TX 79761-4436
(432) 332-9263
(432) 332-9264
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
L2417
TX
2086S0129X
Vascular Surgery Physician
Primary
L2417
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145927303
—
TX
Enumeration date
12/14/2005
Last updated
02/01/2022
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