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General NPI Number Information
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NPI Number | 1285135665
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Entity Type | Organization
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Legal Business Name | BRYAN M LOWERY, MD, PLLC
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Dates
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Enumeration Date | 02/22/2018
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Last Update Date | 02/22/2018
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Provider Practice Location Address
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Address Line | 5575 WARREN PKWY STE 305
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City | FRISCO
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State | TX
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Zip | 75034-4062
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Country | US
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Telephone | 469-200-4802
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Fax | 469-287-7903
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Provider Business Mailing Address
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Address Line | 5575 WARREN PKWY STE 305
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City | FRISCO
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State | TX
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Zip | 75034-4062
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Country | US
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Telephone | 469-200-4802
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Fax | 469-287-7903
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Authorized Official
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Title or Position | OWNER/MEMBER
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Name | DR. BRYAN MICHAEL LOWERY
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Credential | MD
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Telephone | 903-258-2338
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | L3383
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License Number State | TX
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