MEDICARE: LOW-T PHYSICIANS SERVICES PLLC

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	208800000X	Urology Physician

General Provider Information

NPI Number	:	1477992717
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LOW-T PHYSICIANS SERVICES PLLC

Provider Business Mailing Address
First Line	:	PO BOX 306276
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37230-6276
Country	:	US
Telephone Number	:	405-285-5664
Fax Number	:	405-285-6684

Provider Business Practice Location Address
First Line	:	121 E EDGEWOOD DR
Second Line	:
City	:	FRIENDSWOOD
State	:	TX
Zip	:	77546-3818
Country	:	US
Telephone Number	:	281-407-5698
Fax Number	:	832-569-5311

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	WILLIAM G REILLY
Credential	:	MD
Telephone Number	:	877-544-5698

Provider Enumeration Date	:	06/20/2013
Last Update Date	:	05/06/2019

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