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NPI Code Detail

MEDICARE: DR. KEITH EUGENE DOWELL MD

MEDICARE: DR. KEITH EUGENE DOWELL MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208600000XSurgery PhysicianE0326TX

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
120019502OTHERTXRAILROAD GBA - RAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3820597OTHERTXBC/BS TX#
4MDE0326TXOTHERTXWORKERS COMPENSATION

General Provider Information

NPI Number : 1962465914
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KEITH EUGENE DOWELL MD
Provider Business Mailing Address
First Line : 1414 KELVING WAY
Second Line :
City : WHARTON
State : TX
Zip : 77488-3416
Country : US
Telephone Number : 979-532-8603
Fax Number :
Provider Business Practice Location Address
First Line : 2100 REGIONAL MEDICAL DR
Second Line :
City : WHARTON
State : TX
Zip : 77488-9719
Country : US
Telephone Number : 979-532-1700
Fax Number : 979-532-6791
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2006
Last Update Date : 03/25/2016

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Directions to “ DR. KEITH EUGENE DOWELL MD” Practice Location

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