Eileen Li, MD
Individual provider Active NPI Pediatrics Physician · Odessa, TX
NPI 1598723975 · NPPES record last updated Feb 23, 2012
Key facts
- NPI
- 1598723975
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- M1882 (TX)
- 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
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M1882 | TX | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eileen Li MD PA | Pediatrics | Past |
Accepting new patients |
| James Y Li MD PA | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | M1882 | TX | Yes |
Addresses
Primary practice location
540 W 5TH St
Suite 360
Odessa, TX 79761-5034
Mailing address
540 W 5TH St
Suite 360
Odessa, TX 79761-5034
Phone (432) 332-7337
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 180422101 | Medicaid | TX |
Other providers in Odessa, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 23, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.