Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2084N0400X | Neurologist | K9771 | TX |
Y | 2084N0402X | Child Neurologist | K9771 | TX |
NPI | 1396706479 |
---|---|
Provider Name | Michael M. Dowling |
First Address | Dallas, TX 75284-5347 |
Second Address | Dallas, TX 75235-7701 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/03/2006 |
Last Update Date | 01/05/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
102609801 | (05) | TX |
H19940 | (02) |