Organization
BOWEN CHIROPRACTIC CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTHA RUTH BOWEN D.C. (OWNER)
(903) 663-5885
Entity
Organization
Contact information
Practice address
3392 STATE HIGHWAY 259 NORTH, LONGVIEW, TX 75605
(903) 663-5885
(903) 663-0908
Mailing address
PO BOX 9066, LONGVIEW, TX 75608-9066
(903) 663-5885
(903) 663-0908
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
6817
TX
111N00000X
Chiropractor
Primary
6818
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
079797901
—
TX
Enumeration date
04/02/2007
Last updated
08/29/2008
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