Provider Demographics
NPI:1063629640
Name:MCDOWELL, DEBRA (PT MSHP)
Entity Type:Individual
Prefix:
First Name:DEBRA
Middle Name:
Last Name:MCDOWELL
Suffix:
Gender:F
Credentials:PT MSHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7201 MANCHACA RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78745-5259
Mailing Address - Country:US
Mailing Address - Phone:512-443-3577
Mailing Address - Fax:512-445-6027
Practice Address - Street 1:7201 MANCHACA RD
Practice Address - Street 2:SUITE B
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78745-5259
Practice Address - Country:US
Practice Address - Phone:512-443-3577
Practice Address - Fax:512-445-6027
Is Sole Proprietor?:No
Enumeration Date:2007-05-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1016558225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist