Provider Demographics
NPI:1881761989
Name:LOW, ROBERT R (DO)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:R
Last Name:LOW
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1711 W WHEELER AVE
Mailing Address - Street 2:SUITE 3
Mailing Address - City:ARANSAS PASS
Mailing Address - State:TX
Mailing Address - Zip Code:78336-4536
Mailing Address - Country:US
Mailing Address - Phone:361-758-1599
Mailing Address - Fax:361-758-2227
Practice Address - Street 1:1711 W WHEELER AVE
Practice Address - Street 2:SUITE 3
Practice Address - City:ARANSAS PASS
Practice Address - State:TX
Practice Address - Zip Code:78336-4536
Practice Address - Country:US
Practice Address - Phone:361-758-1599
Practice Address - Fax:361-758-2227
Is Sole Proprietor?:No
Enumeration Date:2006-11-30
Last Update Date:2014-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG4027207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX035843402Medicaid
TX8B8467Medicare ID - Type UnspecifiedMEDICARE
TX00682WMedicare PIN