JAMES Y LI MD PA NPI 1093799025

NPI Information

NPI: 1093799025
Provider Name: JAMES Y LI MD PA
Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

Address:
540 W 5TH ST
SUITE #360
ODESSA, TX
ZIP 79761
Phone: (432) 332-9263
Get Directions

JAMES Y LI MD PA is a vascular surgery surgery in Odessa, TX. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. JAMES Y LI MD PA NPI is 1093799025. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

540 W 5TH ST
SUITE #360
ODESSA, TX
ZIP 79761-034
Phone: (432) 332-9263
Fax: (432) 332-9264

The provider's authorized official is James Y Li .
The authorized official title is Owner and has the following contact phone number (432) 332-9263.

The enumeration date for this NPI number is 12/2/2005 and was last updated on 2/22/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208600000X	Surgery		L2417	TEXAS	No
2	2086S0129X	Surgery	Vascular Surgery	L2417	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	00393Z	MEDICARE PIN	TEXAS
2	H43339	MEDICARE UPIN
3	176084501	MEDICAID	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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