MEDICARE: ASHLEY LOWE MEDFORD NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	AP136429	TX

General Provider Information

NPI Number	:	1164925574
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEY LOWE MEDFORD NP

Provider Business Mailing Address
First Line	:	4480 BRYANT IRVIN RD
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76132-1064
Country	:	US
Telephone Number	:	682-212-9160
Fax Number	:

Provider Business Practice Location Address
First Line	:	4480 BRYANT IRVIN RD
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76132-1064
Country	:	US
Telephone Number	:	682-212-9160
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/12/2018
Last Update Date	:	01/06/2025

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