Provider Demographics
NPI:1730998212
Name:LOWRY, DANIRABE (RD)
Entity type:Individual
Prefix:
First Name:DANIRABE
Middle Name:
Last Name:LOWRY
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:DANIRABE
Other - Middle Name:
Other - Last Name:RODRIGUEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RD
Mailing Address - Street 1:13437 EMERALD CRYSTAL DR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79928-2361
Mailing Address - Country:US
Mailing Address - Phone:612-842-9230
Mailing Address - Fax:
Practice Address - Street 1:13437 EMERALD CRYSTAL DR
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79928-2361
Practice Address - Country:US
Practice Address - Phone:612-842-9230
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-30
Last Update Date:2025-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX86342655133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty