Li, Fan

Li, Fan is an individual health care provider with primary practice located at 6807 Emmett F Lowry Expy 103, Texas City TX 77591-2546. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Li, Fan can be contacted via phone (409) 938-1770.

Contact Information

Primary practice address
6807 Emmett F Lowry Expy 103 Texas City TX 77591-2546
Phone: (409) 938-1770
Fax: (409) 938-0701
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X L0378 Texas

Profile Details

NPI number 1659368330
LBN Legal business name Li, Fan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2005
Last updated Feb 18th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659368330 NPPES
Texas MEDICAID 042121607
Texas MEDICAID 042121606

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