Doctor Name: | MRS. CAROLYN DOWD |
NPI Number: | 1245409044 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | |
Business Practice Address: | 1901 Highway 97 E Ste 110 South Texas Heart Clinic Jourdanton, TX - 780261507 |
Business Phone Number: | 8307693271 |
Business Fax Number: | 8307693278 |
Mailing Address: | 1901 Highway 97 E Ste 110, South Texas Heart Clinic JOURDANTON |
State: | TX |
Postal Code: | 780261507 |
Phone Number: | 8307693271 |
Fax Number: | 8307693278 |
NPI Enumeration Date: | 02/26/2008 |
NPI Last Update Date: | 04/20/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |