Provider Demographics
NPI:1336218981
Name:RUNYAN DOWDY, REBECCA SUE (NP)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:SUE
Last Name:RUNYAN DOWDY
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20414 VICTORIOUS DR
Mailing Address - Street 2:
Mailing Address - City:HOCKLEY
Mailing Address - State:TX
Mailing Address - Zip Code:77447-8768
Mailing Address - Country:US
Mailing Address - Phone:281-516-3158
Mailing Address - Fax:
Practice Address - Street 1:15003 FM 529 RD
Practice Address - Street 2:STE A
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77095-4375
Practice Address - Country:US
Practice Address - Phone:713-230-8677
Practice Address - Fax:281-345-7587
Is Sole Proprietor?:No
Enumeration Date:2006-11-07
Last Update Date:2016-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP115402363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health