Healthcare Provider Details

I. General information

NPI: 1437347242
Provider Name (Legal Business Name): ALAN D ROW MD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2007
Last Update Date: 04/11/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3813 22ND ST SUITE 5
LUBBOCK TX
79410-1199
US

IV. Provider business mailing address

3813 22ND ST SUITE 5
LUBBOCK TX
79410-1199
US

V. Phone/Fax

Practice location:
  • Phone: 806-797-9550
  • Fax: 806-797-0578
Mailing address:
  • Phone: 806-797-9550
  • Fax: 806-797-0578

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberF4452
License Number StateTX

VIII. Authorized Official

Name: ALAN D ROW
Title or Position: PRESIDENT
Credential: MD
Phone: 806-797-9550