Provider Demographics
NPI:1215457114
Name:LOWE, KIMCHAI (DMD)
Entity type:Individual
Prefix:
First Name:KIMCHAI
Middle Name:
Last Name:LOWE
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2162 SPRING STUEBNER RD
Mailing Address - Street 2:STE 140 #3013
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77389
Mailing Address - Country:US
Mailing Address - Phone:713-855-3017
Mailing Address - Fax:
Practice Address - Street 1:9816 MEMORIAL BLVD STE 101
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77338-4205
Practice Address - Country:US
Practice Address - Phone:281-446-6527
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-21
Last Update Date:2024-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK122987122300000X
ORD112091223G0001X
TX380761223G0001X, 1223D0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223D0004XDental ProvidersDentistDental Anesthesiology
No122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice