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Hai Chi Ly
Psychiatric/Mental Health Nurse Practitioner in Georgetown, Texas
NPI 1063193670

Hai Chi Ly is a Psychiatric/Mental Health Nurse Practitioner based in Georgetown, TX and is specialized in Psychiatric/Mental Health. Hai Chi Ly practices in Georgetown, TX. The NPI Number for Hai Chi Ly is 1063193670 and holds a License No. 1129634 (Texas).

The current practice location address for Hai Chi Ly is 152 Marienfeld Ln, Georgetown, TX and can be reached out via phone at 410-390-2041.

Location: 152 Marienfeld Ln, Georgetown, TX, 78626-2621
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063193670
Provider Name
Hai Chi Ly
Credential
Provider Entity Type
Individual
Gender
Male
Address
152 Marienfeld Ln, Georgetown, TX, 78626-2621
Phone Number
410-390-2041
Fax Number
Provider Enumeration Date
07/27/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
152 Marienfeld Ln
City
Georgetown
State
Texas
Zip
78626-2621
Phone Number
410-390-2041
Fax Number
person
Provider Business Mailing Address Details
Address
152 Marienfeld Ln
City
Georgetown
State
Texas
Zip
78626-2621
Phone Number
410-390-2041
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
1129634 (Texas)
Definition
Definition to come...
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