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General, Orthopedic, Thoracic, Vascular Surgery
Plastic, Cosmetic, Oral, Podiatric Surgery

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DR. JEFFERSON ROY LOWRY D.O.

Surgery Yellow Pages

Fort Worth, Texas

Provider NPI: 1790758563

Provider Information:
DR. JEFFERSON ROY LOWRY D.O.


Practice Location:
1250 8TH AVE SUITE 135 FORT WORTH, TX 76104 US
Tel: 817-335-8151  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N204E00000XPhysicians
Oral & Maxillofacial Surgery
TXF0567
Y207Y00000XPhysicians
Otolaryngology
TXF0567
N207YP0228XPhysicians
Otolaryngology
TXF0567

Other Provider Identifiers:

IssuerNumberStateType
0310740-01TX05
AETNA PROVIDER #2940798TX01
BLUE CROSS BLUE SHIELD ID00000074EPTX01
TAX ID760330807TX01
CIGNA VENDOR NUMBERPR29609650002TX01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin



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