Provider Demographics
NPI:1972694149
Name:DOWNING, CANDACE L (DO)
Entity Type:Individual
Prefix:
First Name:CANDACE
Middle Name:L
Last Name:DOWNING
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2810 LOTUS
Mailing Address - Street 2:
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78550
Mailing Address - Country:US
Mailing Address - Phone:956-364-3033
Mailing Address - Fax:956-366-4501
Practice Address - Street 1:1629 TREASURE HILLS BLVD
Practice Address - Street 2:SUITE B-5
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550
Practice Address - Country:US
Practice Address - Phone:956-366-4500
Practice Address - Fax:956-366-4501
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXH4291207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX39473Medicare UPIN