Healthcare Provider Details

I. General information

NPI: 1134859028
Provider Name (Legal Business Name): SOHYUN OH MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/14/2022
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7601 PRESTON RD
PLANO TX
75024-3214
US

IV. Provider business mailing address

4869 CUMBERLAND CIR
CARROLLTON TX
75010-4367
US

V. Phone/Fax

Practice location:
  • Phone: 214-403-7429
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberV6659
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberV6659
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: