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Organization
BOWMAN FAMILY MEDICINE CLINIC, LLC
Active
Organization
BOWMAN FAMILY MEDICINE CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CORINE HARDMAN BOWMAN MD (SOLE OWNER)
(318) 464-8073
Entity
Organization
Contact information
Practice address
1007 GOULD DRIVE, BUILDING 3, SUITE 4, BOSSIER CITY, LA 71111
(318) 584-7319
(318) 584-7322
Mailing address
PO BOX 52364, SHREVEPORT, LA 71135-2364
(318) 798-4539
(318) 798-4601
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
023946
LA
Other
Enumeration date
02/01/2017
Last updated
04/05/2017
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