Provider Demographics
NPI:1851353809
Name:STOWELL, ANNA WRIGHT (PHD)
Entity Type:Individual
Prefix:DR
First Name:ANNA
Middle Name:WRIGHT
Last Name:STOWELL
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:ANNA
Other - Middle Name:RITCHEY
Other - Last Name:WRIGHT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:12820 HILLCREST RD
Mailing Address - Street 2:SUITE C-217
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75230
Mailing Address - Country:US
Mailing Address - Phone:214-736-1910
Mailing Address - Fax:
Practice Address - Street 1:12820 HILLCREST RD
Practice Address - Street 2:SUITE C-217
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75230
Practice Address - Country:US
Practice Address - Phone:214-736-1910
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-05
Last Update Date:2019-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX30764207LP2900X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX030093103Medicaid
TX83040PMedicare ID - Type Unspecified
TX030093103Medicaid