Provider Demographics
NPI:1083616403
Name:LOW, JR, JAMES RAY (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:RAY
Last Name:LOW, JR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 TOBY LANE
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75766-2462
Mailing Address - Country:US
Mailing Address - Phone:903-586-3505
Mailing Address - Fax:
Practice Address - Street 1:105 TOBY LANE
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:TX
Practice Address - Zip Code:75766-2462
Practice Address - Country:US
Practice Address - Phone:903-586-3505
Practice Address - Fax:903-589-1113
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-15
Last Update Date:2021-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH6390207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX127589302Medicaid
TXTXB125771 GRPMedicare PIN
TXE74407Medicare UPIN