Provider Demographics
NPI:1124684550
Name:DOWELL, KATHERINE (DO)
Entity type:Individual
Prefix:DR
First Name:KATHERINE
Middle Name:
Last Name:DOWELL
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11937 US HWY 271
Mailing Address - Street 2:ATTN: KATE WELLS GRADUATE MEDICAL EDUCATION
Mailing Address - City:TYLER
Mailing Address - State:TX
Mailing Address - Zip Code:75708
Mailing Address - Country:US
Mailing Address - Phone:903-877-7000
Mailing Address - Fax:
Practice Address - Street 1:7510 N ORACLE RD STE 100
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85704-4447
Practice Address - Country:US
Practice Address - Phone:520-324-4910
Practice Address - Fax:520-324-4911
Is Sole Proprietor?:No
Enumeration Date:2019-05-10
Last Update Date:2024-03-13
Deactivation Date:2019-05-10
Deactivation Code:
Reactivation Date:2019-07-05
Provider Licenses
StateLicense IDTaxonomies
TXBP10068794390200000X
AZ010803207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program