Eileen Li MD PA

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

M1882 Issued in TX

Legal business name

EILEEN LI MD PA

Practice address

540 W 5TH St
Suite 360
Odessa, TX 79761-5034

Phone

(432) 332-7337

Fax

(432) 332-9264

NPI assigned

May 3, 2006

Last updated

Feb 23, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Eileen Li, MDNPI 1598723975

Title

Owner

Phone

(432) 332-7337

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Eileen Li, MD

  • Pediatrics Physician
  • Odessa, TX
  • NPI 1598723975
  NPD (past) Authorized official
• James Y Li, MD

  • Vascular Surgery Physician
  • Odessa, TX
  • NPI 1932184629
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329955200000",
    "number": "1063470326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 W 5TH ST",
            "address_2": "SUITE 360",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797615034",
            "telephone_number": "432-332-7337",
            "fax_number": "432-332-9264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 W 5TH ST",
            "address_2": "SUITE 360",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797615034",
            "telephone_number": "432-332-7337",
            "fax_number": "432-332-9264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EILEEN LI MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-03",
        "last_updated": "2012-02-23",
        "status": "A",
        "authorized_official_last_name": "LI",
        "authorized_official_first_name": "EILEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "432-332-7337",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "M1882",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "180301701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ector County Isd
• George Oritsebemigho Ede
• Educare Community Living Corporation - Texas (All Ways Caring HomeCare)
• Edwards and Gonzlez DDS PLLC (Big Smiles Ranch)
• Joel Trimble Edwards, DDS
• Amarachi Eke-Okoro
• Emade E Ekwelle, PHARMD
• Gary Wayne Elam, M.D.
• Alaa Eldin A Eldemerdash, MD
• Elite Ivf & Fertility Solutions

• Pediatrics Physician in Odessa, TX
• Providers in Odessa, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.