Provider Demographics
NPI:1457571275
Name:DOWLING, FERGUS (PT)
Entity Type:Individual
Prefix:MR
First Name:FERGUS
Middle Name:
Last Name:DOWLING
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:RR 19 BOX 330
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78539-9204
Mailing Address - Country:US
Mailing Address - Phone:956-318-1295
Mailing Address - Fax:
Practice Address - Street 1:7017 N 10TH ST
Practice Address - Street 2:STE T
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-3287
Practice Address - Country:US
Practice Address - Phone:956-630-6300
Practice Address - Fax:956-630-3443
Is Sole Proprietor?:No
Enumeration Date:2007-04-26
Last Update Date:2018-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1088748208100000X, 2251P0200X, 225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
No2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8T4097OtherBCBS