Individual
DR. DIANA LOIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
7217 HAWKINS VIEW DR, SUITE 200, FORT WORTH, TX 76132-3927
(817) 292-3605
(817) 292-1743
Mailing address
7217 HAWKINS VIEW DR, SUITE 200, FORT WORTH, TX 76132-3927
(817) 292-3605
(817) 292-1743
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
21107
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
85D719
BCBS TX
TX
Enumeration date
04/13/2007
Last updated
05/25/2012
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