Provider Demographics
NPI:1942346408
Name:LOWE, CHYRL LYNN (MD)
Entity Type:Individual
Prefix:DR
First Name:CHYRL
Middle Name:LYNN
Last Name:LOWE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1709 DRYDEN RD STE 1700
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2504
Mailing Address - Country:US
Mailing Address - Phone:713-798-7356
Mailing Address - Fax:713-798-6374
Practice Address - Street 1:7200 CAMBRIDGE ST APT B
Practice Address - Street 2:SUITE MMOB-E1.142, MS: BCM646
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-4203
Practice Address - Country:US
Practice Address - Phone:713-798-2305
Practice Address - Fax:713-798-7454
Is Sole Proprietor?:No
Enumeration Date:2007-01-30
Last Update Date:2009-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF0250207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
84Y607OtherTX-BLUE SHIELD
TX132749604Medicaid
LA1353094OtherLA - MEDICAID
TX050040977OtherRAILROAD - MEDICARE
TX8L4149Medicare PIN
TX8L3725Medicare PIN
LA1353094OtherLA - MEDICAID
TX132749604Medicaid