Provider Demographics
NPI:1831776855
Name:LOWE, WHITNEY DOMINIQUE
Entity type:Individual
Prefix:
First Name:WHITNEY
Middle Name:DOMINIQUE
Last Name:LOWE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16310 TOMBALL PKWY STE 105
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77064-1814
Mailing Address - Country:US
Mailing Address - Phone:832-286-4621
Mailing Address - Fax:
Practice Address - Street 1:16310 TOMBALL PKWY STE 105
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77064-1814
Practice Address - Country:US
Practice Address - Phone:832-286-4621
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-25
Last Update Date:2021-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X, 103TH0100X, 374700000X
TX101YP2500X
TX1416192374700000X
TX7996222083A0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083A0100XAllopathic & Osteopathic PhysiciansPreventive MedicineAerospace Medicine
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No103TH0100XBehavioral Health & Social Service ProvidersPsychologistHealth Service
No374700000XNursing Service Related ProvidersTechnician