Provider Demographics
NPI:1063683704
Name:LOW, ALLISON DILYNN (OD)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:DILYNN
Last Name:LOW
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
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Mailing Address - Street 1:7710 BEECHNUT ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-3100
Mailing Address - Country:US
Mailing Address - Phone:713-777-7145
Mailing Address - Fax:713-337-4803
Practice Address - Street 1:403 W GRAND PKWY S
Practice Address - Street 2:SUITE E
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-8358
Practice Address - Country:US
Practice Address - Phone:281-391-3937
Practice Address - Fax:281-391-3951
Is Sole Proprietor?:No
Enumeration Date:2008-03-21
Last Update Date:2010-09-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TX05732TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8L8928Medicare PIN
TXU95116Medicare UPIN