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General NPI Number Information
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NPI Number | 1154344463
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Entity Type | Individual
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Provider Name | ELAINE Y LI MD
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Gender | Female
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Dates
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Enumeration Date | 07/26/2006
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Last Update Date | 07/14/2020
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Provider Practice Location Address
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Address Line | 1500 CITYWEST BLVD STE 300
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City | HOUSTON
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State | TX
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Zip | 77042-2549
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Country | US
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Telephone | 972-233-1999
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 840853 SUITE 200
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City | DALLAS
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State | TX
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Zip | 75284-4817
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Country | US
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Telephone | 972-715-5000
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | L5022
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License Number State | TX
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