Basic Information
| Provider Information | |||||||||
| NPI: | 1285135665 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | BRYAN M LOWERY, MD, PLLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5575 WARREN PKWY STE 305 | ||||||||
| Address2: | |||||||||
| City: | FRISCO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 750344062 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4692004802 | ||||||||
| FaxNumber: | 4692877903 | ||||||||
| Practice Location | |||||||||
| Address1: | 5575 WARREN PKWY STE 305 | ||||||||
| Address2: | |||||||||
| City: | FRISCO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 750344062 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4692004802 | ||||||||
| FaxNumber: | 4692877903 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/22/2018 | ||||||||
| LastUpdateDate: | 02/22/2018 | ||||||||
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| AuthorizedOfficialLastName: | LOWERY | ||||||||
| AuthorizedOfficialFirstName: | BRYAN | ||||||||
| AuthorizedOfficialMiddleName: | MICHAEL | ||||||||
| AuthorizedOfficialTitleorPosition: | OWNER/MEMBER | ||||||||
| AuthorizedOfficialTelephone: | 9032582338 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | L3383 | TX | Y | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.