1942634662 NPI number — HARPER INTERVENTIONAL PAIN CENTER LLC

Table of content: YUK PUI LI MD (NPI 1871544239)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1942634662 NPI number — HARPER INTERVENTIONAL PAIN CENTER LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HARPER INTERVENTIONAL PAIN CENTER LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1942634662
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/30/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
P O BOX 674363
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
DALLAS
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
75267-4363
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
972-479-1115
Provider Business Mailing Address Fax Number:
972-479-1118

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1201 SUMMIT AVE
Provider Second Line Business Practice Location Address:
SUITE 400
Provider Business Practice Location Address City Name:
FORT WORTH
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
76102-4413
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
972-234-4740
Provider Business Practice Location Address Fax Number:
817-571-0897
Provider Enumeration Date:
08/29/2013

Additional Information

Authorized Official

Authorized Official Last Name:
WALLS
Authorized Official First Name:
TRACY
Authorized Official Middle Name:
Authorized Official Title or Position:
MANAGER
Authorized Official Telephone Number:
972-234-4740

Provider Taxonomy Codes

  • Taxonomy code: 261QP3300X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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