Provider Demographics
NPI:1215960737
Name:DOW, DANIEL MASON (MD)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:MASON
Last Name:DOW
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 100
Mailing Address - Street 2:
Mailing Address - City:PARIS
Mailing Address - State:TX
Mailing Address - Zip Code:75461-0100
Mailing Address - Country:US
Mailing Address - Phone:903-785-6029
Mailing Address - Fax:903-785-5421
Practice Address - Street 1:909 ROCKWALL PKWY
Practice Address - Street 2:
Practice Address - City:ROCKWALL
Practice Address - State:TX
Practice Address - Zip Code:75032-6502
Practice Address - Country:US
Practice Address - Phone:469-698-0045
Practice Address - Fax:469-698-0483
Is Sole Proprietor?:No
Enumeration Date:2006-07-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL10212085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8B7943Medicare ID - Type Unspecified
TX8B7941Medicare ID - Type Unspecified
TX8B7942Medicare ID - Type Unspecified
TX8F0871Medicare ID - Type Unspecified
TX8B7944Medicare ID - Type Unspecified
P00284628Medicare ID - Type UnspecifiedRAILROAD
P00153374Medicare ID - Type UnspecifiedRAILROAD
H27650Medicare UPIN
P00154594Medicare ID - Type UnspecifiedRAILROAD