# LOW T CENTER LLC

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

## Provider details

- **NPI number:** 1982921136
- **Authorized official:** MICKALA SISK (MEMBER)
- **Authorized official phone:** (817) 442-5698

## Contact information

- **Practice address:** 601 ZENA RUCKER RD, STE 101, SOUTHLAKE, TX 76092-6386
- **Practice address phone:** (817) 442-5698
- **Practice address fax:** (817) 442-5633
- **Mailing address:** 601 ZENA RUCKER RD, STE 101, SOUTHLAKE, TX 76092-6386
- **Mailing address phone:** (817) 442-5698
- **Mailing address fax:** (817) 442-5633

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | — | NULL | Yes |
| 208800000X | Urology Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/28/2010
- **Last updated:** 04/28/2010