Organization Active NPI

Low T, LLC

  • Primary Care Clinic/Center
  • Southlake, TX
National Provider Identifier
1205151271
Registry record updated Apr 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
LOW T, LLC
Practice address
601 Zena Rucker Rd
Southlake, TX 76092-6386
Phone
(817) 442-5698
NPI assigned
Apr 2, 2010
Last updated
Apr 2, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kevin Walters
Title
Manager
Phone
(817) 442-5698

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

601 Zena Rucker Rd
Southlake, TX 76092-6386

Mailing address

601 Zena Rucker Rd
Southlake, TX 76092-6386
Phone (817) 442-5698

National Provider Directory

National Provider Directory
Tax ID family
Low T Center LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

601 Zena Rucker Rd
Southlake, TX 76092
Phone (817) 442-5698

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1270166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270166400000",
    "number": "1205151271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 ZENA RUCKER RD",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926386",
            "telephone_number": "817-442-5698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 ZENA RUCKER RD",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926386",
            "telephone_number": "817-442-5698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOW T, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-02",
        "last_updated": "2010-04-02",
        "status": "A",
        "authorized_official_last_name": "WALTERS",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "817-442-5698"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southlake, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.