| Michael Downing Md Pa | |
|
5445 La Sierra Dr Suite 101 Dallas TX 75231-4139 | |
| (214) 868-2345 | |
| (214) 369-2610 |
| Full Name | Michael Downing Md Pa |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 5445 La Sierra Dr, Dallas, Texas |
| Authorized Official Name and Position | Michael James Downing (PRESIDENT) |
| Authorized Official Contact | 2148682345 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Downing Md Pa 11016 Edgemere Rd Dallas TX 75230-3535 Ph: (214) 868-2345 | Michael Downing Md Pa 5445 La Sierra Dr Suite 101 Dallas TX 75231-4139 Ph: (214) 868-2345 |
| NPI Number | 1689866030 |
|---|---|
| Provider Enumeration Date | 08/09/2007 |
| Last Update Date | 07/31/2012 |
| Medicare PECOS PAC ID | 9032131412 |
|---|---|
| Medicare Enrollment ID | O20060119000862 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689866030 | NPI | - | NPPES |
| 70NA | Other | TX | BLUE CROSS BLUE SHIELD |
| 178742601 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | J1082 (Texas) | Primary |
| Provider Name | Michael James Downing |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639159346 PECOS PAC ID: 1850313222 Enrollment ID: I20051228000788 |
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