# BOWMAN FAMILY MEDICINE CLINIC, LLC

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

## Provider details

- **NPI number:** 1710425574
- **Authorized official:** DR. CORINE HARDMAN BOWMAN MD (SOLE OWNER)
- **Authorized official phone:** (318) 464-8073

## Contact information

- **Practice address:** 1007 GOULD DRIVE, BUILDING 3, SUITE 4, BOSSIER CITY, LA 71111
- **Practice address phone:** (318) 584-7319
- **Practice address fax:** (318) 584-7322
- **Mailing address:** PO BOX 52364, SHREVEPORT, LA 71135-2364
- **Mailing address phone:** (318) 798-4539
- **Mailing address fax:** (318) 798-4601

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 023946 | LA | Yes |

## Other

- **Enumeration date:** 02/01/2017
- **Last updated:** 04/05/2017