Provider Demographics
NPI:1013115351
Name:LOWE, DOZA LEONDRES (LCDC)
Entity Type:Individual
Prefix:MR
First Name:DOZA
Middle Name:LEONDRES
Last Name:LOWE
Suffix:
Gender:M
Credentials:LCDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2620 FOUNTAIN VIEW DR
Mailing Address - Street 2:SUITE 115C
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77057-7621
Mailing Address - Country:US
Mailing Address - Phone:832-283-6056
Mailing Address - Fax:713-728-2083
Practice Address - Street 1:2620 FOUNTAIN VIEW DR
Practice Address - Street 2:SUITE 115C
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77057-7621
Practice Address - Country:US
Practice Address - Phone:832-283-6056
Practice Address - Fax:713-728-2083
Is Sole Proprietor?:No
Enumeration Date:2007-07-09
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX3266101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)