Provider Demographics
NPI:1043515216
Name:DON H. LOWRANCE, MS, DDS, PC
Entity type:Organization
Organization Name:DON H. LOWRANCE, MS, DDS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DON
Authorized Official - Middle Name:H
Authorized Official - Last Name:LOWRANCE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:361-851-8274
Mailing Address - Street 1:4707 EVERHART RD STE 101
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78411-2753
Mailing Address - Country:US
Mailing Address - Phone:361-851-8274
Mailing Address - Fax:361-806-2965
Practice Address - Street 1:4707 EVERHART RD STE 101
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78411-2753
Practice Address - Country:US
Practice Address - Phone:361-851-8274
Practice Address - Fax:361-806-2965
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-20
Last Update Date:2011-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10894261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental