Provider Demographics
NPI:1356414742
Name:LOWMAN, JAMES WAYNE (DC)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:WAYNE
Last Name:LOWMAN
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:PO BOX 428
Mailing Address - Street 2:
Mailing Address - City:WALLIS
Mailing Address - State:TX
Mailing Address - Zip Code:77485-0428
Mailing Address - Country:US
Mailing Address - Phone:979-478-7329
Mailing Address - Fax:979-885-7485
Practice Address - Street 1:2308 HIGHWAY 36 S
Practice Address - Street 2:
Practice Address - City:SEALY
Practice Address - State:TX
Practice Address - Zip Code:77474-4223
Practice Address - Country:US
Practice Address - Phone:979-885-7484
Practice Address - Fax:979-885-7485
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-16
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2303111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX600131Medicare ID - Type Unspecified
TXT14503Medicare UPIN