Provider Demographics
NPI:1255327227
Name:DOWLING, ROBERT A (MD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:A
Last Name:DOWLING
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 120549
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76012-0549
Mailing Address - Country:US
Mailing Address - Phone:817-303-4521
Mailing Address - Fax:817-468-5876
Practice Address - Street 1:1300 W TERRELL AVE
Practice Address - Street 2:SUITE 405
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76104-2820
Practice Address - Country:US
Practice Address - Phone:817-303-4521
Practice Address - Fax:817-468-5876
Is Sole Proprietor?:No
Enumeration Date:2005-09-23
Last Update Date:2011-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG3304208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX131607705Medicaid
TX131607706Medicaid
TX83Z590Medicare PIN
TX131607705Medicaid
TX131607706Medicaid