MEDICARE: FENG 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
1	207RG0100X	Gastroenterology Physician	D67712	MD
2	207RG0100X	Gastroenterology Physician	TEMP	TX
3	207RG0100X	Gastroenterology Physician	N3833	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	935858-01	OTHER	MD	CAREFIRST BC/BS
3	TIN PLUX 001	OTHER	TX	TRICARE TC CANTON
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	TIN PLUS 028	OTHER	TX	TRICARE TC LINDALE
6	S062-0329	OTHER	MD	CAREFIRST BC/BS REGIONAL
7	8BC405	OTHER	TX	BCBS OF TEXAS
8	TIN PLUS 008	OTHER	TX	TRICARE

General Provider Information

NPI Number	:	1568435394
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FENG LI MD

Provider Business Mailing Address
First Line	:	PO BOX 846098
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75284-6098
Country	:	US
Telephone Number	:	903-324-6450
Fax Number	:

Provider Business Practice Location Address
First Line	:	910 E HOUSTON ST
Second Line	:	STE 550
City	:	TYLER
State	:	TX
Zip	:	75702-8366
Country	:	US
Telephone Number	:	903-510-8718
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/10/2006
Last Update Date	:	10/13/2014

Similar Medicare Providers

1336109925 — ABDULLAH MUBARAK MD
Practice Location Address:

910 E HOUSTON ST STE 550
TYLER, TX
75702-8366

Practice Phone: 903-606-8718
Practice Fax: 903-606-1218

1285619205 — XIAOTUAN ZHAO MD
Practice Location Address:

910 E HOUSTON ST STE 550
TYLER, TX
75702-8366

Practice Phone: 903-606-8718
Practice Fax:

1225013915 — WARREN ALLEN ABRAMEIT MD
Practice Location Address:

910 E HOUSTON ST , STE 550
TYLER, TX
75702-8366

Practice Phone: 903-592-7393
Practice Fax:

1669435921 — ERIN THOMPSON RD
Practice Location Address:

910 E HOUSTON ST STE 550
TYLER, TX
75702-8366

Practice Phone: 903-592-7393
Practice Fax: 903-597-7538

1356391734 — TRINITY CLINIC
Practice Location Address:

910 E HOUSTON ST , STE 530
TYLER, TX
75702-8366

Practice Phone: 903-592-7393
Practice Fax:

1184660086 — JANNINE PURCELL
Practice Location Address:

910 E HOUSTON ST STE 550
TYLER, TX
75702-8366

Practice Phone: 903-510-8718
Practice Fax:

Directions to “ FENG LI MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.