# MARK T BOWEN INC APC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235449737
- **Authorized official:** DR. MARK T BOWEN D.O. (OWNER)
- **Authorized official phone:** (318) 992-6103

## Contact information

- **Practice address:** 3190 NORTH 1ST ST, JENA, LA 71342
- **Practice address phone:** (318) 992-6103
- **Practice address fax:** (318) 992-6106
- **Mailing address:** PO BOX 1410, JENA, LA 71342-1410
- **Mailing address phone:** (318) 992-6103
- **Mailing address fax:** (318) 992-6106

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | 932-143T | LA | Yes |

## Other

- **Enumeration date:** 10/18/2010
- **Last updated:** 10/18/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1370886 | — | LA |