Provider Demographics
NPI:1538264528
Name:R & R MILDRED H ROWLEY MD INC
Entity type:Organization
Organization Name:R & R MILDRED H ROWLEY MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRES CEO MD
Authorized Official - Prefix:DR
Authorized Official - First Name:MILDRED
Authorized Official - Middle Name:HELEN
Authorized Official - Last Name:ROWLEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:505-522-7798
Mailing Address - Street 1:2435 SOUTH TELSHOR BLVD
Mailing Address - Street 2:
Mailing Address - City:LAS CRUCES
Mailing Address - State:NM
Mailing Address - Zip Code:88011-5029
Mailing Address - Country:US
Mailing Address - Phone:505-522-7798
Mailing Address - Fax:505-522-3415
Practice Address - Street 1:2435 SOUTH TELSHOR BLVD
Practice Address - Street 2:
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88011-5029
Practice Address - Country:US
Practice Address - Phone:505-522-7798
Practice Address - Fax:505-522-3415
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-14
Last Update Date:2008-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
900521222Medicare ID - Type Unspecified