Provider Demographics
NPI:1275534992
Name:DOWNIE, GORDON HUNTER (MD)
Entity Type:Individual
Prefix:DR
First Name:GORDON
Middle Name:HUNTER
Last Name:DOWNIE
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 1:301 W 18TH ST STE 101
Mailing Address - Street 2:
Mailing Address - City:MT PLEASANT
Mailing Address - State:TX
Mailing Address - Zip Code:75455-2370
Mailing Address - Country:US
Mailing Address - Phone:903-572-9050
Mailing Address - Fax:903-572-9051
Practice Address - Street 1:301 W 18TH ST STE 101
Practice Address - Street 2:
Practice Address - City:MT PLEASANT
Practice Address - State:TX
Practice Address - Zip Code:75455-2370
Practice Address - Country:US
Practice Address - Phone:903-572-9050
Practice Address - Fax:903-572-9051
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-03
Last Update Date:2024-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM6979207RC0200X, 207RP1001X
NC0032490207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8J7589Medicare PIN
NCE01420Medicare UPIN