Basic Information
| Provider Information | |||||||||
| NPI: | 1942346408 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | LOWE | ||||||||
| FirstName: | CHYRL | ||||||||
| MiddleName: | LYNN | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1709 DRYDEN RD STE 1700 | ||||||||
| Address2: | |||||||||
| City: | HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 770302504 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7137987356 | ||||||||
| FaxNumber: | 7137986374 | ||||||||
| Practice Location | |||||||||
| Address1: | 7200 CAMBRIDGE ST APT B | ||||||||
| Address2: | SUITE MMOB-E1.142, MS: BCM646 | ||||||||
| City: | HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 770304203 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7137982305 | ||||||||
| FaxNumber: | 7137987454 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/30/2007 | ||||||||
| LastUpdateDate: | 05/29/2009 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207L00000X | F0250 | TX | Y | Allopathic & Osteopathic Physicians | Anesthesiology |
ID Information
| ID | Type | State | Issuer | Description | 84Y607 | 01 | TX-BLUE SHIELD | OTHER | 132749604 | 05 | TX | MEDICAID | 1353094 | 01 | LA | LA - MEDICAID | OTHER | 050040977 | 01 | TX | RAILROAD - MEDICARE | OTHER |