Shang Li Lian, MD | |
3900 Boat Club Rd, Lake Worth, TX 76135-3201 | |
(817) 237-7161 | |
(817) 237-7161 |
Full Name | Shang Li Lian |
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Gender | Female |
Speciality | Pediatrics |
Location | 3900 Boat Club Rd, Lake Worth, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407275340 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | A147094 (California) | Secondary |
208000000X | Pediatrics | R6603 (Texas) | Primary |
Entity Name | Valley Childrens Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437555265 PECOS PAC ID: 9032439336 Enrollment ID: O20150528001593 |
Mailing Address | Practice Location Address |
---|---|
Shang Li Lian, MD Po Box 733784, Dallas, TX 75373-3784 Ph: (682) 885-6483 | Shang Li Lian, MD 3900 Boat Club Rd, Lake Worth, TX 76135-3201 Ph: (817) 237-7161 |
Monica S Farias, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3900 Boat Club Rd, Lake Worth, TX 76135 Phone: 817-237-7161 Fax: 817-237-0966 | |
Wayne W Yee, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3900 Boat Club Rd, Lake Worth, TX 76135 Phone: 817-237-7161 Fax: 817-237-0966 | |
Christina Renee Sherrod, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3900 Boat Club Rd, Lake Worth, TX 76135 Phone: 817-237-7161 |