Contract Details
Ancillary Care Services
Facility name
Helen K. Li, MD
Provider ID
P000004908
NPI
1598824740
Tax ID
205914460
Effective Date
4/1/2012
Last Updated
10/22/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
68.00
Location Details
Address
6550 Fannin Street Suite 2317
Houston, TX 77030
United States
County
Harris
Phone
2814073033 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Optometry
Map
Address