Local City Search for Surgeons and Surgical Clinics 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:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 204E00000X | Physicians Oral & Maxillofacial Surgery | TX | F0567 |
| Y | 207Y00000X | Physicians Otolaryngology | TX | F0567 |
| N | 207YP0228X | Physicians Otolaryngology | TX | F0567 |
Other Provider Identifiers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 0310740-01 | TX | 05 | |
| AETNA PROVIDER # | 2940798 | TX | 01 |
| BLUE CROSS BLUE SHIELD ID | 00000074EP | TX | 01 |
| TAX ID | 760330807 | TX | 01 |
| CIGNA VENDOR NUMBER | PR29609650002 | TX | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
