Provider Demographics
NPI:1376862292
Name:DOWDY, DWIGHT (DC)
Entity Type:Individual
Prefix:DR
First Name:DWIGHT
Middle Name:
Last Name:DOWDY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1001 FAIRMONT PKWY
Mailing Address - Street 2:STE M
Mailing Address - City:PASADENA
Mailing Address - State:TX
Mailing Address - Zip Code:77504-2944
Mailing Address - Country:US
Mailing Address - Phone:713-946-1441
Mailing Address - Fax:
Practice Address - Street 1:1001 FAIRMONT PKWY
Practice Address - Street 2:STE M
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77504-2944
Practice Address - Country:US
Practice Address - Phone:713-946-1441
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-18
Last Update Date:2010-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11263111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor