Provider Demographics
NPI:1972502474
Name:LOWE, DANIEL (FNP)
Entity Type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:
Last Name:LOWE
Suffix:
Gender:M
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6025 BENTWOOD DR
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:TX
Mailing Address - Zip Code:76065-6923
Mailing Address - Country:US
Mailing Address - Phone:817-688-3151
Mailing Address - Fax:817-557-0699
Practice Address - Street 1:6025 BENTWOOD DR
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:TX
Practice Address - Zip Code:76065-6923
Practice Address - Country:US
Practice Address - Phone:817-688-3151
Practice Address - Fax:817-557-0699
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-18
Last Update Date:2007-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX255200163W00000X
TX363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXNP7198OtherBCBS
TX611686Medicare ID - Type Unspecified
TXQ34555Medicare UPIN
TX8G2980Medicare PIN
TXP00277565Medicare PIN