MEDICARE: EXPRESS ANESTHESIA & PAIN MANAGEMENT CONSULTANTS,PLLC

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	261QM2500X	Medical Specialty Clinic/Center	L4529	TX

General Provider Information

NPI Number	:	1609378801
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EXPRESS ANESTHESIA & PAIN MANAGEMENT CONSULTANTS,PLLC

Provider Business Mailing Address
First Line	:	5112 VALERIE ST
Second Line	:
City	:	BELLAIRE
State	:	TX
Zip	:	77401-4916
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6609 W SAM HOUSTON PKWY S STE 101
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77072-1641
Country	:	US
Telephone Number	:	713-898-3554
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	YUJING LI
Credential	:	MD
Telephone Number	:	713-898-3554

Provider Enumeration Date	:	03/02/2018
Last Update Date	:	01/11/2019

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