Organization
TEXOMA UROLOGY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILLIP E DOWD M.D. (PRESIDENT)
(940) 689-8765
Entity
Organization
Contact information
Practice address
5500 KELL WEST BLVD., SUITE 200, WICHITA FALLS, TX 76310-1612
(940) 689-8765
(940) 689-8769
Mailing address
5500 KELL WEST BLVD., SUITE 200, WICHITA FALLS, TX 76310-1612
(940) 689-8765
(940) 689-8769
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
H6172
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00E527
BLUE CROSS & BLUE SHIELD
TX
01
—
0243510001
MEDICARE DME, PALMETTO
TX
01
—
CS6543
RAILROAD MEDICARE
TX
Enumeration date
07/20/2006
Last updated
11/05/2007
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