Provider Demographics
NPI:1447302831
Name:MCDOWELL, DON GRAY (MD)
Entity type:Individual
Prefix:DR
First Name:DON
Middle Name:GRAY
Last Name:MCDOWELL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5201 SAINT GERMAIN BLVD
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:LA
Mailing Address - Zip Code:71303-2438
Mailing Address - Country:US
Mailing Address - Phone:318-442-2848
Mailing Address - Fax:
Practice Address - Street 1:100 PINCREST DR
Practice Address - Street 2:PINECREST DEVELOPMENTAL CENTER
Practice Address - City:PINEVILLE
Practice Address - State:LA
Practice Address - Zip Code:71361-5191
Practice Address - Country:US
Practice Address - Phone:318-641-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA07576R207L00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Not Answered207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA37598Medicaid
LA37598Medicaid