Provider Demographics
NPI:1134247760
Name:ALI, MOHSIN (BDS, MSC, PHD)
Entity type:Individual
Prefix:DR
First Name:MOHSIN
Middle Name:
Last Name:ALI
Suffix:
Gender:M
Credentials:BDS, MSC, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6516 JOHN FREEMAN ST
Mailing Address - Street 2:ROOM 422
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-3402
Mailing Address - Country:US
Mailing Address - Phone:713-500-4065
Mailing Address - Fax:713-500-4353
Practice Address - Street 1:6516 JOHN FREEMAN ST
Practice Address - Street 2:ROOM 422
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-3402
Practice Address - Country:US
Practice Address - Phone:713-500-4065
Practice Address - Fax:713-500-4353
Is Sole Proprietor?:No
Enumeration Date:2007-03-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF-231321223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics