Organization
LOW T, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN WALTERS (MANAGER)
(817) 442-5698
Entity
Organization
Contact information
Practice address
601 ZENA RUCKER RD, SOUTHLAKE, TX 76092-6386
(817) 442-5698
Mailing address
601 ZENA RUCKER RD, SOUTHLAKE, TX 76092-6386
(817) 442-5698
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
04/02/2010
Last updated
04/02/2010
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