Provider Demographics
NPI:1518328541
Name:LOH, LI HSING JOSEPH
Entity Type:Individual
Prefix:
First Name:LI HSING
Middle Name:JOSEPH
Last Name:LOH
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:651 CROSS TIMBERS RD STE 103
Mailing Address - Street 2:
Mailing Address - City:FLOWER MOUND
Mailing Address - State:TX
Mailing Address - Zip Code:75028-1300
Mailing Address - Country:US
Mailing Address - Phone:210-816-0987
Mailing Address - Fax:
Practice Address - Street 1:651 CROSS TIMBERS RD STE 103
Practice Address - Street 2:
Practice Address - City:FLOWER MOUND
Practice Address - State:TX
Practice Address - Zip Code:75028-1300
Practice Address - Country:US
Practice Address - Phone:972-299-3480
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-03-18
Last Update Date:2023-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALD6319 C1122300000X
TX382581223G0001X, 1223S0112X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
No122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program