Dr. Jefferson Roy Lowry
Otolaryngologist (ENT Doctor) Pediatric Otolaryngology Oral & Maxillofacial Surgeon
1250 8th Ave Suite 135
Fort Worth
, Texas 76104
Dr. Jefferson Roy Lowry
Otolaryngologist (ENT Doctor) Pediatric Otolaryngology Oral & Maxillofacial Surgeon
1250 8th Ave Suite 135
Fort Worth
, Texas 76104
(817) 335-2670
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About
Features
Specialties
- Oral & Maxillofacial Surgeon
- Otolaryngologist (ENT Doctor)
- Pediatric Otolaryngology
Languages spoken
- English
Location
First Address
- Dr. Jefferson Roy Lowry
- 1250 8th Ave Suite 135
- Fort Worth, TX
- Zip : 76104
- Fax : (817) 335-2670
- Phone : (817) 335-8151
Second Address
- Dr. Jefferson Roy Lowry
- 1250 8th Ave Suite 135
- Fort Worth, TX
- Zip : 76104
- Fax : (817) 335-2670
- Phone : (817) 335-8151
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 204E00000X | Oral & Maxillofacial Surgeon | F0567 | TX |
| Y | 207Y00000X | Otolaryngologist (ENT Doctor) | F0567 | TX |
| N | 207YP0228X | Pediatric Otolaryngology | F0567 | TX |
National Provider Identifier
| NPI | 1790758563 |
|---|---|
| Provider Name | Dr. Jefferson Roy Lowry |
| First Address | Fort Worth, TX 76104 |
| Second Address | Fort Worth, TX 76104 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/02/2006 |
| Last Update Date | 09/04/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00000074EP | BLUE CROSS BLUE SHIELD ID (01) | TX |
| 0310740-01 | (05) | TX |
| 2940798 | AETNA PROVIDER # (01) | TX |
| 760330807 | TAX ID (01) | TX |
| D97506 | (02) | TX |
| PR29609650002 | CIGNA VENDOR NUMBER (01) | TX |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.