Provider Demographics
NPI:1386625812
Name:LO, ASIA E (DPM)
Entity Type:Individual
Prefix:DR
First Name:ASIA
Middle Name:E
Last Name:LO
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:12121 RICHMOND AVE
Mailing Address - Street 2:STE 415
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77082-2432
Mailing Address - Country:US
Mailing Address - Phone:281-531-4100
Mailing Address - Fax:281-531-9600
Practice Address - Street 1:12121 RICHMOND AVE
Practice Address - Street 2:STE 415
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77082-2432
Practice Address - Country:US
Practice Address - Phone:281-531-4100
Practice Address - Fax:281-531-9600
Is Sole Proprietor?:No
Enumeration Date:2005-11-10
Last Update Date:2011-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1324213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
81053BOtherBC
TX116196003Medicaid
480028290OtherRR MCR
TX116196003Medicaid
480028290OtherRR MCR
81053BMedicare PIN