Provider Demographics
NPI:1730906132
Name:LOWE, MADELINE CLAIRE (DC)
Entity type:Individual
Prefix:
First Name:MADELINE
Middle Name:CLAIRE
Last Name:LOWE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 BELPREE DR APT 103
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75075-8985
Mailing Address - Country:US
Mailing Address - Phone:817-781-8909
Mailing Address - Fax:
Practice Address - Street 1:1503 AIRPORT RD
Practice Address - Street 2:
Practice Address - City:ROCKWALL
Practice Address - State:TX
Practice Address - Zip Code:75087-6204
Practice Address - Country:US
Practice Address - Phone:972-895-4655
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-25
Last Update Date:2024-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15892111NP0017X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NP0017XChiropractic ProvidersChiropractorPediatric ChiropractorGroup - Single Specialty