Organization
LOW T CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICKALA SISK (MEMBER)
(817) 442-5698
Entity
Organization
Contact information
Practice address
601 ZENA RUCKER RD, STE 101, SOUTHLAKE, TX 76092-6386
(817) 442-5698
(817) 442-5633
Mailing address
601 ZENA RUCKER RD, STE 101, SOUTHLAKE, TX 76092-6386
(817) 442-5698
(817) 442-5633
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
04/28/2010
Last updated
04/28/2010
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