Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | H6172 | TX |
NPI | 1053394627 |
---|---|
Provider Name | Dr. Phillip E Dowd |
First Address | Wichita Falls, TX 76310-1612 |
Second Address | Wichita Falls, TX 76310-1612 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/11/2005 |
Last Update Date | 27/12/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0243510001 | MEDICARE DME, PALMETTO (01) | TX |
815317 | BLUE CROSS & BLUE SHIELD (01) | TX |