Provider Demographics
NPI:1477992717
Name:LOW-T PHYSICIANS SERVICES PLLC
Entity Type:Organization
Organization Name:LOW-T PHYSICIANS SERVICES PLLC
Other - Org Name:LOW-T PHYSICANS PROFESSIONAL MBR
Other - Org Type:Other Name
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:G
Authorized Official - Last Name:REILLY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:877-544-5698
Mailing Address - Street 1:PO BOX 306276
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37230-6276
Mailing Address - Country:US
Mailing Address - Phone:405-285-5664
Mailing Address - Fax:405-285-6684
Practice Address - Street 1:121 E EDGEWOOD DR
Practice Address - Street 2:
Practice Address - City:FRIENDSWOOD
Practice Address - State:TX
Practice Address - Zip Code:77546-3818
Practice Address - Country:US
Practice Address - Phone:281-407-5698
Practice Address - Fax:832-569-5311
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-20
Last Update Date:2019-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty