Doctor Name: | MRS. ELIZABETH ANN MCDOWELL |
NPI Number: | 1114159894 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PNP |
License Number: | 736176 |
Business Practice Address: | 2200 Bergquist Dr Suite 1 Lackland A F B, TX - 782369907 |
Business Phone Number: | 2102926613 |
Business Fax Number: | 2102924190 |
Mailing Address: | 2200 Bergquist Dr, Suite 1 LACKLAND A F B |
State: | TX |
Postal Code: | 782369907 |
Phone Number: | 2102926613 |
Fax Number: | 2102924190 |
NPI Enumeration Date: | 08/14/2009 |
NPI Last Update Date: | 08/14/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | 736176 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |