Individual ProviderEddie LoweFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address1500 S Main St, Ft Worth, TX 76104-4917(817) 702-1204PECOS EnrollmentBased on the most recent information from CMS, provider Eddie Lowe is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1164712550Provider TypeIndividualFull NameLowe, EddieCredentialMDGenderMaleSole ProprietorYesEnumeration Date4/19/2011Last Updated9/24/2014Contact InformationPractice LocationPractice Address1500 S Main St, Ft Worth, TX 76104-4917Phone(817) 702-1204FaxUnlisted FaxMailing LocationMailing Address2800 Corporate Cir, Suite 103, Flower Mound, TX 75028-5640PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseP9089Texas