Joel Ray Dow, DO
Individual provider Active NPI Emergency Medicine Physician · Burnet, TX
NPI 1962468264 · NPPES record last updated May 12, 2021
Key facts
- NPI
- 1962468264
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- L6361 (TX)
- Practice address
- Hwy 281 South
Burnet, TX 78611-1219 - Phone
- (512) 715-3010
- NPI assigned
- Apr 25, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040518001393 | TX | Practitioner - Family Practice |
9436140696 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Wellness Clinic Alamo Ranch PLLC | Current |
Accepting new patients | |
| Texas Healthnet Medical Clinic LTD. | Current |
Accepting new patients | |
| Singleton Associates PA | Past | Accepting new patients |
Locations
18568 Forty Six Pkwy
Ste 3001
Spring Branch, TX 78070
Phone (830) 438-9300
18568 Forty Six Pkwy
Ste 1001
Spring Branch, TX 78070
Phone (830) 438-9300
8930 Fourwinds Dr
Ste 101
Windcrest, TX 78239
Phone (210) 495-8788
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | L6361 | TX | Yes |
Addresses
Primary practice location
Hwy 281 South
Burnet, TX 78611-1219
Mailing address
18568 Forty Six Pkwy
Ste 1001
Spring Branch, TX 78070-6878
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8S6919 | Other | TX | BCBS |
| 164949304 | Other | TX | CSHCN |
| 164949305 | Medicaid | TX | |
| 8K1873 | Other | TX | BCBS |
| 164949306 | Other | TX | CSHCN |
| 164949303 | Medicaid | TX |
Other providers in Burnet, TX
- D&S Residential Services, LP
- D&S Residential Services, LP
- Jeremy Liam Danson
- Margaret Sue Dean
- Melissa Dodd
- Cassandra G Doyal
- Russell E Dubose
- Dungarvin Texas, LLC
- Dungarvin Texas, LLC
- Carie Danielle Fansler
All providers in Burnet, TX · Emergency Medicine Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 12, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.