Provider Demographics
NPI:1588956866
Name:JAMES R LOW, JR., M.D.,P.A.
Entity type:Organization
Organization Name:JAMES R LOW, JR., M.D.,P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:R
Authorized Official - Last Name:LOW
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:903-586-3505
Mailing Address - Street 1:105 TOBY LANE
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75766-2462
Mailing Address - Country:US
Mailing Address - Phone:903-586-3505
Mailing Address - Fax:
Practice Address - Street 1:105 TOBY LANE
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:TX
Practice Address - Zip Code:75766-2462
Practice Address - Country:US
Practice Address - Phone:903-586-3505
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-05
Last Update Date:2021-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH6390207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX127589302Medicaid
TX127589302Medicaid