Provider Demographics
NPI:1437347242
Name:ALAN D ROW MD PA
Entity Type:Organization
Organization Name:ALAN D ROW MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:D
Authorized Official - Last Name:ROW
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:806-797-9550
Mailing Address - Street 1:3813 22ND ST
Mailing Address - Street 2:SUITE 5
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79410-1199
Mailing Address - Country:US
Mailing Address - Phone:806-797-9550
Mailing Address - Fax:806-797-0578
Practice Address - Street 1:3813 22ND ST
Practice Address - Street 2:SUITE 5
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79410-1199
Practice Address - Country:US
Practice Address - Phone:806-797-9550
Practice Address - Fax:806-797-0578
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-05
Last Update Date:2015-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF4452207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX089591401Medicaid
TX00TX33Medicare PIN