Provider Demographics
NPI:1952310260
Name:DOWNING, IRIS G (PT)
Entity type:Individual
Prefix:MRS
First Name:IRIS
Middle Name:G
Last Name:DOWNING
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4782 BEECHNUT ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77096-1637
Mailing Address - Country:US
Mailing Address - Phone:713-349-8200
Mailing Address - Fax:713-349-9810
Practice Address - Street 1:4782 BEECHNUT ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77096-1637
Practice Address - Country:US
Practice Address - Phone:713-349-8200
Practice Address - Fax:713-349-9810
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-05
Last Update Date:2007-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1078707225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8T6214OtherBLUE CROSS BLUE SHIELD
TX8T6214OtherBLUE CROSS BLUE SHIELD