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Individual

DR. MARK STUART LOWE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
12222 MERIT DR STE 600, DALLAS, TX 75251-3294
(972) 715-5000
(972) 715-9976
Mailing address
PO BOX 840853, DALLAS, TX 75284-0853
(972) 233-1999
(972) 233-3666

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
K7447
TX
207LP2900X
Pain Medicine (Anesthesiology) Physician
K7447
TX
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
K7447
TX
208VP0014X
Interventional Pain Medicine Physician
K7447
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
154705102
TX
05
154705103
TX
05
154705104
TX
05
154705106
TX
05
154705107
TX
05
154705108
TX
01
1548739964
PAIN MANAGEMENT
TX
05
401540601
TX
01
8EL143
BCBS TX
TX
01
8G7058
BCBS
TX
01
P00021495
RR MEDICARE
AK
Enumeration date
12/28/2005
Last updated
10/06/2022
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