Provider Demographics
NPI:1285851139
Name:LOWRY, JEFFREY CLINTON (MD)
Entity Type:Individual
Prefix:
First Name:JEFFREY
Middle Name:CLINTON
Last Name:LOWRY
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 1:3521 PRESCOTT AVE
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75219-2148
Mailing Address - Country:US
Mailing Address - Phone:214-766-6688
Mailing Address - Fax:
Practice Address - Street 1:3521 PRESCOTT AVE
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75219-2148
Practice Address - Country:US
Practice Address - Phone:972-745-7500
Practice Address - Fax:972-471-0700
Is Sole Proprietor?:No
Enumeration Date:2007-04-20
Last Update Date:2023-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM5337207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine