Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0007X | Plastic Surgeon (Head & Neck) | J0234 | TX |
NPI | 1821093212 |
---|---|
Provider Name | Dr. Gregory Spencer Rowin |
First Address | Mcallen, TX 78503-1294 |
Second Address | Mcallen, TX 78503-1294 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/06/2005 |
Last Update Date | 29/04/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
040010414 | RAILROAD MEDICARE NUMBER (01) | TX |
116696 | SUPERIOR HEALTH PLANS (01) | TX |
126564701 | CIDC NUMBER (01) | TX |
126564705 | (05) | TX |
134648100 | VALLEY HEALTH PLANS NUMBE (01) | TX |
176590500 | WORKERS COMPENSATION (01) | TX |
8454J2 | BC/BS OF TEXAS NUMBER (01) | TX |
F38645 | (02) | TX |