Provider Demographics
NPI:1164626735
Name:LOW, BRANDON O'HARA (MD)
Entity Type:Individual
Prefix:DR
First Name:BRANDON
Middle Name:O'HARA
Last Name:LOW
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 1:450 W MEDICAL CENTER BLVD STE 600B
Mailing Address - Street 2:
Mailing Address - City:WEBSTER
Mailing Address - State:TX
Mailing Address - Zip Code:77598-4233
Mailing Address - Country:US
Mailing Address - Phone:281-316-0121
Mailing Address - Fax:281-316-0122
Practice Address - Street 1:450 W MEDICAL CENTER BLVD STE 600B
Practice Address - Street 2:
Practice Address - City:WEBSTER
Practice Address - State:TX
Practice Address - Zip Code:77598-4233
Practice Address - Country:US
Practice Address - Phone:281-316-0121
Practice Address - Fax:281-316-0122
Is Sole Proprietor?:No
Enumeration Date:2007-06-14
Last Update Date:2022-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN8119207X00000X
TXBP1-0026302207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
3844670005OtherMYUTMB 3844670005-COMMERCIAL NUMBER