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NPI Code Detail

MEDICARE: CHRISTY THERIOT LOWRANCE PA

MEDICARE: CHRISTY THERIOT LOWRANCE PA
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
1207RC0000XCardiovascular Disease PhysicianPA03820TX
2363A00000XPhysician AssistantPA03820TX

General Provider Information

NPI Number : 1538294913
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTY THERIOT LOWRANCE PA
Provider Business Mailing Address
First Line : 2693 NORTH ST
Second Line :
City : BEAUMONT
State : TX
Zip : 77702-1624
Country : US
Telephone Number : 409-832-8862
Fax Number : 409-832-1664
Provider Business Practice Location Address
First Line : 2693 NORTH ST
Second Line :
City : BEAUMONT
State : TX
Zip : 77702-1624
Country : US
Telephone Number : 409-832-8862
Fax Number : 409-832-1664
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/23/2007
Last Update Date : 02/26/2025

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Directions to “ CHRISTY THERIOT LOWRANCE PA” Practice Location

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