Lois, Diana

Lois, Diana is an individual health care provider with primary practice located at 7217 Hawkins View Dr Suite 200, Fort Worth TX 76132-3927. She recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as her primary health care specialty. Lois, Diana can be contacted via phone (817) 292-3605.

Contact Information

Primary practice address
7217 Hawkins View Dr Suite 200 Fort Worth TX 76132-3927
Fax: (817) 292-1743
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 21107 Texas

Profile Details

NPI number 1982828398
LBN Legal business name Lois, Diana
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2007
Last updated May 25th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982828398 NPPES
Texas Other 85D719 BCBS TX

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