Individual
JONATHAN THOMAS LOWERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
3208 N UNIVERSITY DR, NACOGDOCHES, TX 75965-2633
(936) 564-3937
Mailing address
609 SPRING CREEK DR, NACOGDOCHES, TX 75965-7020
(936) 652-3341
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
11126
TX
Other
Enumeration date
05/31/2024
Last updated
05/31/2024
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