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NPI Code Detail

MEDICARE: JINGYI LI MD

MEDICARE:   JINGYI  LI  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology PhysicianQ6869TX

General Provider Information

NPI Number : 1497011233
Entity Type Code : Individual
Provider Name (Legal Business Name) : JINGYI LI MD
Provider Business Mailing Address
First Line : 2901 BLEDSOE ST APT 2485
Second Line :
City : FT WORTH
State : TX
Zip : 76107-2831
Country : US
Telephone Number : 281-788-7614
Fax Number :
Provider Business Practice Location Address
First Line : 9101 LBJ FWY STE 710
Second Line :
City : DALLAS
State : TX
Zip : 75243-1912
Country : US
Telephone Number : 972-792-5700
Fax Number : 888-510-3225
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/05/2012
Last Update Date : 11/03/2017

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Directions to “ JINGYI LI MD” Practice Location

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