Individual
LOWELL JENQ LO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5201 HARRY HINES BLVD, HOUSE STAFF & GME, DALLAS, TX 75235-7708
(214) 590-8058
Mailing address
5201 HARRY HINES BLVD, HOUSE STAFF & GME, DALLAS, TX 75235-7708
(214) 590-8058
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
A100300
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BP1-0017797
INSTITUTIONAL PERMIT
—
Enumeration date
05/22/2007
Last updated
11/15/2017
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