# LOWT OF TEXOMA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063819142
- **Authorized official:** ANTOINETTE RENE NUNNELEY APRN (OWNER)
- **Authorized official phone:** (940) 386-9334

## Contact information

- **Practice address:** 4001 CEDAR ELM LN, SUITE B, WICHITA FALLS, TX 76308-3031
- **Practice address phone:** (940) 386-9334
- **Practice address fax:** (940) 386-9733
- **Mailing address:** 4001 CEDAR ELM LN, SUITE B, WICHITA FALLS, TX 76308-3031
- **Mailing address phone:** (940) 386-9334
- **Mailing address fax:** (940) 386-9733

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP2300X | Primary Care Nurse Practitioner | AP110354 | TX | Yes |

## Other

- **Enumeration date:** 12/04/2014
- **Last updated:** 12/04/2014