Weidong Li, Od Pa

NPI 1538462064 - Optometrist - 152W00000X

NPI Details
NPI 1538462064
Enumeration Date 12/06/2010
Last Updated 12/06/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name HOPE HOPE
Position SECRETARY OF STATE
Phone (972) 772-6189
Fax (972) 772-6189
Practice Location
782 E INTERSTATE 30
ROCKWALL TX, 75087-5503, US
Phone (972) 772-6189
Fax (972) 772-6189
Business Location
1714 GRAND CANYON WAY
ALLEN TX, 75002-8396, US
Phone
Fax
Toxanomy
Taxonomy Code 152W00000X
License State Texas
License Number 7305T
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According to our database, Weidong Li, Od Pa NPI is 1538462064, taxonomy code is 152W00000X and license number is 7305T, license state is located at Texas. Weidong Li, Od Pa physically located at 782 E Interstate 30, Rockwall TX, 75087-5503. NPI Number 1033115704 has the healthcare provider type.

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1538462064 NPI number is provided on an as is basis without warranty of any kind. 1538462064 is maintained by the National Plan & Provider Enumeration System. The contents of Weidong Li, Od Pa are for informational purposes only.