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NPI Code Detail

MEDICARE: ERLINDA Y LOWERY

MEDICARE: ERLINDA Y LOWERY
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
1106S00000XBehavior TechnicianRBT-19-100346TX

General Provider Information

NPI Number : 1184265431
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERLINDA Y LOWERY
Provider Business Mailing Address
First Line : 5522 LONE STAR PKWY STE 101
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78253-6720
Country : US
Telephone Number : 210-670-8028
Fax Number :
Provider Business Practice Location Address
First Line : 5522 LONE STAR PKWY STE 101
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78253-6720
Country : US
Telephone Number : 210-670-8028
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/07/2019
Last Update Date : 10/08/2019

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Directions to “ ERLINDA Y LOWERY ” Practice Location

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