Individual
DR. KEITH EUGENE DOWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2100 REGIONAL MEDICAL DR, WHARTON, TX 77488-9719
(979) 532-1700
(979) 532-6791
Mailing address
1414 KELVING WAY, WHARTON, TX 77488-3416
(979) 532-8603
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
E0326
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117635603
—
TX
01
—
20019502
RAILROAD GBA - RAILROAD MEDICARE
TX
01
—
820597
BC/BS TX#
TX
01
—
MDE0326TX
WORKERS COMPENSATION
TX
Enumeration date
04/10/2006
Last updated
03/25/2016
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