Provider Demographics
NPI:1750300208
Name:ROWLAND, RICHARD SPENCER (MD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:SPENCER
Last Name:ROWLAND
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:PO BOX 351
Mailing Address - Street 2:
Mailing Address - City:HONDO
Mailing Address - State:TX
Mailing Address - Zip Code:78861-0351
Mailing Address - Country:US
Mailing Address - Phone:830-741-3353
Mailing Address - Fax:830-741-6255
Practice Address - Street 1:3200 AVENUE E
Practice Address - Street 2:
Practice Address - City:HONDO
Practice Address - State:TX
Practice Address - Zip Code:78861-3525
Practice Address - Country:US
Practice Address - Phone:830-426-7444
Practice Address - Fax:830-426-7468
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-18
Last Update Date:2022-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK1293207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX133487205Medicaid
TX0002EPOtherBCBS ID
TX8G3322OtherBCBS ID
TX133487203Medicaid
TX133487205Medicaid
00561LMedicare PIN
TX742948227OtherEIN