Provider Demographics
NPI:1336210947
Name:MCDOWELL, ADAM WAYNE (MD)
Entity Type:Individual
Prefix:MR
First Name:ADAM
Middle Name:WAYNE
Last Name:MCDOWELL
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 1:3001 FM 2181
Mailing Address - Street 2:STE 300
Mailing Address - City:CORINTH
Mailing Address - State:TX
Mailing Address - Zip Code:76210
Mailing Address - Country:US
Mailing Address - Phone:940-497-4900
Mailing Address - Fax:940-497-4901
Practice Address - Street 1:3001 FM 2181
Practice Address - Street 2:STE 300
Practice Address - City:CORINTH
Practice Address - State:TX
Practice Address - Zip Code:76210
Practice Address - Country:US
Practice Address - Phone:940-497-4900
Practice Address - Fax:940-497-4901
Is Sole Proprietor?:No
Enumeration Date:2006-11-13
Last Update Date:2023-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL9350207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXL9350Medicaid
8C7959Medicare ID - Type Unspecified
TXL9350Medicaid