Provider Demographics
NPI:1053451799
Name:DOWNS, EARL KAY (PA-C)
Entity Type:Individual
Prefix:
First Name:EARL
Middle Name:KAY
Last Name:DOWNS
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:850 CENTRAL PKWY E
Mailing Address - Street 2:SUITE 275
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75074-5561
Mailing Address - Country:US
Mailing Address - Phone:972-881-4688
Mailing Address - Fax:972-881-4609
Practice Address - Street 1:850 CENTRAL PKWY E
Practice Address - Street 2:SUITE 275
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75074-5561
Practice Address - Country:US
Practice Address - Phone:972-881-4688
Practice Address - Fax:972-881-4609
Is Sole Proprietor?:No
Enumeration Date:2007-02-08
Last Update Date:2014-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA02944363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8548NDOtherBCBS
TX00115XMedicare PIN