Provider Demographics
NPI:1720721236
Name:DOW, OSCAR JULIAN (RT)
Entity type:Individual
Prefix:
First Name:OSCAR
Middle Name:JULIAN
Last Name:DOW
Suffix:
Gender:M
Credentials:RT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7606 RUGER RNCH
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78254-6064
Mailing Address - Country:US
Mailing Address - Phone:210-268-2794
Mailing Address - Fax:
Practice Address - Street 1:60 STATE ST STE 700
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02109-1894
Practice Address - Country:US
Practice Address - Phone:888-320-1776
Practice Address - Fax:617-507-8576
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-14
Last Update Date:2022-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX67347227800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes227800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, CertifiedGroup - Multi-Specialty