Provider Demographics
NPI:1376530071
Name:ROW, ALAN D (MD)
Entity type:Individual
Prefix:
First Name:ALAN
Middle Name:D
Last Name:ROW
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3813 22ND ST STE 5
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79410-1199
Mailing Address - Country:US
Mailing Address - Phone:806-797-9550
Mailing Address - Fax:
Practice Address - Street 1:3813 22ND ST STE 5
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79410-1199
Practice Address - Country:US
Practice Address - Phone:806-797-9550
Practice Address - Fax:806-797-0578
Is Sole Proprietor?:No
Enumeration Date:2005-09-29
Last Update Date:2021-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF4452207WX0009X, 207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No207WX0009XAllopathic & Osteopathic PhysiciansOphthalmologyGlaucoma Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX089591403Medicaid
TX089591401Medicaid
TX089591401Medicaid
TXTX33OtherBLUE CROSS BLUE SHIELD