Provider Demographics
NPI:1093745994
Name:ROBERT D. ROWLEY, M.D., INC.
Entity Type:Organization
Organization Name:ROBERT D. ROWLEY, M.D., INC.
Other - Org Name:HAYWARD FAMILY CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:C
Authorized Official - Last Name:HOLMES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:510-887-4711
Mailing Address - Street 1:27206 CALAROGA AVE
Mailing Address - Street 2:SUITE # 207
Mailing Address - City:HAYWARD
Mailing Address - State:CA
Mailing Address - Zip Code:94545-4300
Mailing Address - Country:US
Mailing Address - Phone:510-887-4711
Mailing Address - Fax:510-887-2470
Practice Address - Street 1:27206 CALAROGA AVE
Practice Address - Street 2:SUITE # 207
Practice Address - City:HAYWARD
Practice Address - State:CA
Practice Address - Zip Code:94545-4300
Practice Address - Country:US
Practice Address - Phone:510-887-4711
Practice Address - Fax:510-887-2470
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-04
Last Update Date:2010-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care