Provider Demographics
NPI:1639159346
Name:DOWNING, MICHAEL JAMES (MD)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:JAMES
Last Name:DOWNING
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:11016 EDGEMERE RD
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75230-3535
Mailing Address - Country:US
Mailing Address - Phone:214-868-2345
Mailing Address - Fax:214-369-2610
Practice Address - Street 1:5445 LA SIERRA DR
Practice Address - Street 2:SUITE 101
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-4139
Practice Address - Country:US
Practice Address - Phone:214-868-2345
Practice Address - Fax:214-369-2610
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-19
Last Update Date:2012-07-31
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXJ10822084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXF33827Medicare UPIN