Organization
HEATHER L BOWLES
Active
Other names
Physicians at Home
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HEATHER L BOWLES (OWNER/CEO)
(800) 478-7902
Entity
Organization
Contact information
Practice address
4390 PINE CREST DR, LARUE, TX 75770-4758
(800) 478-7902
(800) 517-3583
Mailing address
4390 PINE CREST DR, LARUE, TX 75770-4758
(800) 478-7902
(800) 517-3583
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
204751601
—
TX
Enumeration date
05/08/2009
Last updated
03/16/2012
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