Individual
LAVETA LARRAINE MCDOWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
222 SIDNEY BAKER ST S, SUITE 208, KERRVILLE, TX 78028-5994
(830) 896-7607
(830) 896-8482
Mailing address
7142 SAN PEDRO AVE, SUITE 120, SAN ANTONIO, TX 78216-6256
(210) 661-5622
(210) 395-4012
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
K5619
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
310440YS6N
MEDICARE PTAN
TX
05
—
325752901
—
TX
Enumeration date
12/05/2006
Last updated
08/13/2015
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