Physician Compare National (NPI:1083616403)

HEALTHCARE PROVIDER: JAMES RAY LOW JR MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1083616403
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8628082252
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20110602000248
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	LOW, JR
	Individual professional last name
Provider First Name	JAMES
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
	Individual professional's medical school
Graduation Year	1988
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	203 NACOGDOCHES ST
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 360
	Group Practice or individual's line 2 address
City	JACKSONVILLE
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	757662454
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	450194
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	EAST TEXAS MEDICAL CENTER JACKSONVILLE
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	451319
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	CHRISTUS MOTHER FRANCES HOSPITAL- JACKSONVILLE
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	450083
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	EAST TEXAS MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y