Provider Demographics
NPI:1194912188
Name:LI, XU (OD)
Entity type:Individual
Prefix:DR
First Name:XU
Middle Name:
Last Name:LI
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:25623 BRITISH PINE CT
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-6880
Mailing Address - Country:US
Mailing Address - Phone:832-802-1295
Mailing Address - Fax:281-310-8682
Practice Address - Street 1:1251 PIN OAK RD STE 128
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-7082
Practice Address - Country:US
Practice Address - Phone:281-665-3521
Practice Address - Fax:281-310-8682
Is Sole Proprietor?:No
Enumeration Date:2007-10-03
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA4126152W00000X
TX7936T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist