Provider Demographics
NPI:1609947621
Name:LOWERY, TERRY DOUGLAS (DC)
Entity Type:Individual
Prefix:DR
First Name:TERRY
Middle Name:DOUGLAS
Last Name:LOWERY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:177 HERITAGE PKWY W
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:TX
Mailing Address - Zip Code:76234-8358
Mailing Address - Country:US
Mailing Address - Phone:972-899-3775
Mailing Address - Fax:972-899-3776
Practice Address - Street 1:1025 LONG PRAIRIE RD.
Practice Address - Street 2:SUITE 200
Practice Address - City:FLOWER MOUND
Practice Address - State:TX
Practice Address - Zip Code:75022
Practice Address - Country:US
Practice Address - Phone:972-899-3775
Practice Address - Fax:972-899-3776
Is Sole Proprietor?:No
Enumeration Date:2006-11-13
Last Update Date:2019-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10281111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXV12125Medicare UPIN