Individual
DR. WADE L LOWRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1604 HOSPITAL PKWY STE 201, BEDFORD, TX 76022-6930
(817) 784-8268
(817) 283-8003
Mailing address
1604 HOSPITAL PKWY STE 201, BEDFORD, TX 76022-6930
(817) 784-8268
(817) 283-8003
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
G4641
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
097429702
—
TX
05
—
097429703
—
TX
05
—
097429704
—
TX
05
—
097429705
—
TX
01
—
097429706
MEDICAID OTHER
TX
05
—
097429707
—
TX
Enumeration date
09/21/2005
Last updated
11/26/2019
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