Provider Demographics
NPI:1730153628
Name:LOWERY, BRYAN M (MD)
Entity type:Individual
Prefix:DR
First Name:BRYAN
Middle Name:M
Last Name:LOWERY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:5575 WARREN PKWY
Mailing Address - Street 2:STE 305
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-4092
Mailing Address - Country:US
Mailing Address - Phone:903-324-6450
Mailing Address - Fax:
Practice Address - Street 1:5575 WARREN PKWY STE 305
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-4062
Practice Address - Country:US
Practice Address - Phone:469-200-4802
Practice Address - Fax:469-287-7903
Is Sole Proprietor?:No
Enumeration Date:2006-02-15
Last Update Date:2020-04-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXL3383207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX171448701Medicaid
TX135399OtherCHIPS
H59209Medicare UPIN
TX135399OtherCHIPS
TX171448701Medicaid