Provider Demographics
NPI:1225338585
Name:MADISON D. LOWRY, M.D., P.A.
Entity Type:Organization
Organization Name:MADISON D. LOWRY, M.D., P.A.
Other - Org Name:MADISON D. LOWRY, M.D.
Other - Org Type:Other Name
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:MADISON
Authorized Official - Middle Name:D
Authorized Official - Last Name:LOWRY
Authorized Official - Suffix:
Authorized Official - Credentials:MD, PA
Authorized Official - Phone:830-627-2200
Mailing Address - Street 1:1282 E COMMON ST
Mailing Address - Street 2:
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78130-3509
Mailing Address - Country:US
Mailing Address - Phone:830-627-2200
Mailing Address - Fax:830-627-2203
Practice Address - Street 1:1282 E COMMON ST
Practice Address - Street 2:
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130-3509
Practice Address - Country:US
Practice Address - Phone:830-627-2200
Practice Address - Fax:830-627-2203
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-02
Last Update Date:2010-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK7448207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX029684004Medicaid
TX029684001Medicaid
TX1639129265OtherNPI
TXG98252Medicare UPIN
TX029684004Medicaid