Individual
DR. COURTNEY HOLT COWDEN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3506 21ST ST, STE 507, LUBBOCK, TX 79410-1212
(806) 725-4805
(806) 723-7076
Mailing address
3420 22ND PL, LUBBOCK, TX 79410-1314
(806) 725-5844
(806) 723-6532
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
P1175
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
324631602
—
TX
01
—
8FX315
BCBS TX
TX
01
—
970223101
FIRSTCARE
TX
Enumeration date
04/24/2007
Last updated
08/24/2016
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