Provider Demographics
NPI:1093792467
Name:LOWE, MARK STUART (MD)
Entity Type:Individual
Prefix:DR
First Name:MARK
Middle Name:STUART
Last Name:LOWE
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:PO BOX 840853
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75284-0853
Mailing Address - Country:US
Mailing Address - Phone:972-233-1999
Mailing Address - Fax:972-233-3666
Practice Address - Street 1:12222 MERIT DR STE 600
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75251-3294
Practice Address - Country:US
Practice Address - Phone:972-715-5000
Practice Address - Fax:972-715-9976
Is Sole Proprietor?:No
Enumeration Date:2005-12-28
Last Update Date:2022-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK7447207LP2900X, 2084P2900X, 208VP0014X, 207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
No2084P2900XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPain Medicine
No208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX154705106Medicaid
AKP00021495OtherRR MEDICARE
TX154705102Medicaid
TX154705103Medicaid
TX154705108Medicaid
TX401540601Medicaid
TX8G7058OtherBCBS
TX154705104Medicaid
TX1548739964OtherPAIN MANAGEMENT
TX8EL143OtherBCBS TX
TX154705107Medicaid
TX154705108Medicaid
TX8G7058OtherBCBS
TX339930YK6UMedicare PIN
TX8A7020Medicare PIN
TX8EL143OtherBCBS TX