Provider Demographics
NPI:1366935470
Name:LOWERY, RAYMOND JAMES (DDS)
Entity type:Individual
Prefix:DR
First Name:RAYMOND
Middle Name:JAMES
Last Name:LOWERY
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1804 SAN JOAQUIN PKWY
Mailing Address - Street 2:
Mailing Address - City:FRIENDSWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77546-5935
Mailing Address - Country:US
Mailing Address - Phone:713-679-9160
Mailing Address - Fax:
Practice Address - Street 1:3602 VISTA RD STE H
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77504-1753
Practice Address - Country:US
Practice Address - Phone:713-946-5171
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-13
Last Update Date:2023-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX34111122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty