MEDICARE: DR. MEGAN KATHERINE LOWTHER MD

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	2084P0800X	Psychiatry Physician	S5974	TX

General Provider Information

NPI Number	:	1164919452
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MEGAN KATHERINE LOWTHER MD

Provider Business Mailing Address
First Line	:	13747 MONTFORT DR STE 320
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75240-4454
Country	:	US
Telephone Number	:	972-200-2426
Fax Number	:	469-905-6861

Provider Business Practice Location Address
First Line	:	13747 MONTFORT DR STE 320
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75240-4454
Country	:	US
Telephone Number	:	972-200-2426
Fax Number	:	469-905-6861

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

Provider Enumeration Date	:	04/23/2018
Last Update Date	:	01/24/2023

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