Provider Demographics
NPI:1316705189
Name:LI, SANDY YAN-BIN (NP-C)
Entity type:Individual
Prefix:
First Name:SANDY
Middle Name:YAN-BIN
Last Name:LI
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3410 WORTH ST STE 560
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75246-2081
Mailing Address - Country:US
Mailing Address - Phone:214-820-1530
Mailing Address - Fax:214-820-3489
Practice Address - Street 1:3410 WORTH ST STE 560
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75246-2081
Practice Address - Country:US
Practice Address - Phone:214-820-1530
Practice Address - Fax:214-820-3489
Is Sole Proprietor?:No
Enumeration Date:2024-03-07
Last Update Date:2024-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1141970363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily