Low T Center LLC

NPI #1982921136 in Southlake, Texas

Provider Information

NPI Number: 1982921136
Entity Type: Organization
Organization Name: Low T Center LLC
Primary Specialty: Urology
Enumeration Date: Apr 28, 2010
Last Updated: Apr 28, 2010

Practice Location

Address: 601 ZENA RUCKER RD
Address 2: STE 101
City: Southlake
State: Texas
ZIP Code: 76092-6386
Phone: (817) 442-5698

Authorized Official

Name: MICKALA SISK
Title: MEMBER
Phone: (817) 442-5698

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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