Provider Demographics
NPI:1700808268
Name:LOWMAN, THOMAS M (NP)
Entity Type:Individual
Prefix:
First Name:THOMAS
Middle Name:M
Last Name:LOWMAN
Suffix:
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:161 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:DUMAS
Mailing Address - State:AR
Mailing Address - Zip Code:71639-2222
Mailing Address - Country:US
Mailing Address - Phone:870-382-3080
Mailing Address - Fax:870-382-3085
Practice Address - Street 1:145 W WATERMAN ST
Practice Address - Street 2:
Practice Address - City:DUMAS
Practice Address - State:AR
Practice Address - Zip Code:71639-2139
Practice Address - Country:US
Practice Address - Phone:870-382-4878
Practice Address - Fax:870-382-4895
Is Sole Proprietor?:No
Enumeration Date:2006-07-24
Last Update Date:2011-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARA01523363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR145105758Medicaid
AR145105758Medicaid