Individual
MRS. DEBORAH VINES-LOWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
13601 PRESTON RD, SUITE 1000W, DALLAS, TX 75240-4911
(972) 715-5007
(972) 715-5682
Mailing address
PO BOX 650802, DALLAS, TX 75265-0802
(972) 715-5000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
523089
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0796757
—
TX
05
—
126120808
—
TX
01
—
430030285
RAILROAD MEDICARE
TX
01
—
8723UA
BCBS
TX
01
—
88141U
BCBS
TX
01
—
P01000315
RR MEDICARE
TX
Enumeration date
06/30/2006
Last updated
03/02/2012
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