Provider Demographics
NPI:1770983017
Name:DOWELL, QUESHENA
Entity type:Individual
Prefix:
First Name:QUESHENA
Middle Name:
Last Name:DOWELL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:418 RED SAGE LN
Mailing Address - Street 2:
Mailing Address - City:DUNCANVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75137-6301
Mailing Address - Country:US
Mailing Address - Phone:903-275-3476
Mailing Address - Fax:972-803-8086
Practice Address - Street 1:418 RED SAGE LN
Practice Address - Street 2:
Practice Address - City:DUNCANVILLE
Practice Address - State:TX
Practice Address - Zip Code:75137-6301
Practice Address - Country:US
Practice Address - Phone:903-275-3476
Practice Address - Fax:972-803-8086
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-22
Last Update Date:2017-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)