Provider Demographics
NPI:1821093212
Name:ROWIN, GREGORY SPENCER (DO)
Entity Type:Individual
Prefix:DR
First Name:GREGORY
Middle Name:SPENCER
Last Name:ROWIN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2101 S CYNTHIA ST
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78503-1294
Mailing Address - Country:US
Mailing Address - Phone:956-687-7896
Mailing Address - Fax:956-994-9694
Practice Address - Street 1:2101 S CYNTHIA ST
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78503-1294
Practice Address - Country:US
Practice Address - Phone:956-687-7896
Practice Address - Fax:956-994-9694
Is Sole Proprietor?:No
Enumeration Date:2005-06-14
Last Update Date:2008-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ0234207YX0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YX0007XAllopathic & Osteopathic PhysiciansOtolaryngologyPlastic Surgery within the Head & Neck
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX126564705Medicaid
TX134648100OtherVALLEY HEALTH PLANS NUMBE
TX116696OtherSUPERIOR HEALTH PLANS
TX176590500OtherWORKERS COMPENSATION
TX126564701OtherCIDC NUMBER
TX8454J2OtherBC/BS OF TEXAS NUMBER
TX040010414OtherRAILROAD MEDICARE NUMBER
TX176590500OtherWORKERS COMPENSATION
TX8454J2OtherBC/BS OF TEXAS NUMBER