MEDICARE: MR. HARRY JACOB LOW LMSW

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	247200000X	Other Technician
2	104100000X	Social Worker	55677	TX

General Provider Information

NPI Number	:	1871691576
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. HARRY JACOB LOW LMSW

Provider Business Mailing Address
First Line	:	2020 TEXAS ST APT 1304
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77003-3060
Country	:	US
Telephone Number	:	713-791-1414
Fax Number	:

Provider Business Practice Location Address
First Line	:	2003 HOLCOMBE BLVD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030
Country	:	US
Telephone Number	:	713-791-1414
Fax Number	:

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

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	12/23/2011

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