=====================================================
General NPI Number Information
=====================================================
NPI Number | 1275290728
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | MARGARET LOWERY FNP-BC
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/19/2021
-----------------------------------------------------
Last Update Date | 03/18/2023
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 22999 HIGHWAY 59 N STE 416
-----------------------------------------------------
City | KINGWOOD
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77339-4460
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 281-359-5981
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 22999 HIGHWAY 59 N STE 416
-----------------------------------------------------
City | KINGWOOD
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77339-4460
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 281-359-5981
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LF0000X
-----------------------------------------------------
Taxonomy Name | Family Nurse Practitioner
-----------------------------------------------------
License Number | 1059101
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------