MEDICARE: DR. TERRY DOUGLAS LOWERY D.C.

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	111N00000X	Chiropractor	10281	TX

General Provider Information

NPI Number	:	1609947621
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TERRY DOUGLAS LOWERY D.C.

Provider Business Mailing Address
First Line	:	177 HERITAGE PKWY W
Second Line	:
City	:	DECATUR
State	:	TX
Zip	:	76234-8358
Country	:	US
Telephone Number	:	972-899-3775
Fax Number	:	972-899-3776

Provider Business Practice Location Address
First Line	:	1025 LONG PRAIRIE RD.
Second Line	:	SUITE 200
City	:	FLOWER MOUND
State	:	TX
Zip	:	75022
Country	:	US
Telephone Number	:	972-899-3775
Fax Number	:	972-899-3776

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

Provider Enumeration Date	:	11/13/2006
Last Update Date	:	09/03/2019

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