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DR. JEFFERSON ROY LOWRY D.O. NPI 1790758563


NPI Information

NPI: 1790758563
Provider Name: DR. JEFFERSON ROY LOWRY, D.O.
Classification: Otolaryngology - 207Y00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
1250 8TH AVE
SUITE 135
FORT WORTH, TX
ZIP 76104
Phone: (817) 335-8151
Get Directions

DR. Jefferson Roy Lowry, D.O. is an otolaryngology in Fort Worth, TX. The provider is an otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. DR. Jefferson Roy Lowry, D.O. NPI is 1790758563. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1250 8TH AVE
SUITE 135
FORT WORTH, TX
ZIP 76104
Phone: (817) 335-8151
Fax: (817) 335-2670

The NPI 1790758563 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/10/2006 and was last updated on 4/9/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1204E00000XOral & Maxillofacial SurgeryF0567TEXASNo
2207YP0228XOtolaryngologyPediatric OtolaryngologyF0567TEXASNo
3207Y00000XOtolaryngologyF0567TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100762LMEDICARE ID-TYPE UNSPECIFIEDTEXASPROVIDER #
200000074EPOTHERTEXASBLUE CROSS BLUE SHIELD ID
3760330807OTHERTEXASTAX ID
4PR29609650002OTHERTEXASCIGNA VENDOR NUMBER
52940798OTHERTEXASAETNA PROVIDER #
6D97506MEDICARE UPINTEXAS
70310740-01MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.