Provider Demographics
NPI:1679825541
Name:LI, NANCY NAN (DC)
Entity type:Individual
Prefix:DR
First Name:NANCY
Middle Name:NAN
Last Name:LI
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:NANCY
Other - Middle Name:NAN
Other - Last Name:LI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:1901 POST OAK BLVD
Mailing Address - Street 2:#2303
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77056-3868
Mailing Address - Country:US
Mailing Address - Phone:832-818-2630
Mailing Address - Fax:
Practice Address - Street 1:1901 POST OAK BLVD
Practice Address - Street 2:#2303
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77056-3868
Practice Address - Country:US
Practice Address - Phone:832-818-2630
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-10-02
Last Update Date:2012-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12104111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor