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NPI Code Detail

MEDICARE: DR. JAMES DOUGLAS LOWELL MD

MEDICARE: DR. JAMES DOUGLAS LOWELL 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
1207Q00000XFamily Medicine PhysicianJ5818TX

General Provider Information

NPI Number : 1548273089
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAMES DOUGLAS LOWELL MD
Provider Business Mailing Address
First Line : 14665 BENTWATER CT
Second Line :
City : ADDISON
State : TX
Zip : 75001-7927
Country : US
Telephone Number : 972-488-8734
Fax Number : 972-488-3287
Provider Business Practice Location Address
First Line : 15810 MIDWAY RD
Second Line :
City : ADDISON
State : TX
Zip : 75001-4259
Country : US
Telephone Number : 972-458-8111
Fax Number : 972-458-7776
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/14/2006
Last Update Date : 07/08/2007

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