Provider Demographics
NPI:1326579129
Name:DOW, KWABUAA (MD)
Entity Type:Individual
Prefix:
First Name:KWABUAA
Middle Name:
Last Name:DOW
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 N BLUE MOUND RD STE 144
Mailing Address - Street 2:#130
Mailing Address - City:SAGINAW
Mailing Address - State:TX
Mailing Address - Zip Code:76131-8827
Mailing Address - Country:US
Mailing Address - Phone:682-710-2001
Mailing Address - Fax:
Practice Address - Street 1:900 N BLUE MOUND RD STE 144
Practice Address - Street 2:#130
Practice Address - City:SAGINAW
Practice Address - State:TX
Practice Address - Zip Code:76131-8827
Practice Address - Country:US
Practice Address - Phone:682-710-2001
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-03-23
Last Update Date:2020-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXS3897207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine