Individual
ANGELA G BOWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
431 E STATE HIGHWAY 114 STE 300, SOUTHLAKE, TX 76092-1484
(817) 251-6500
(817) 442-0550
Mailing address
9900 N CENTRAL EXPY STE 500, DALLAS, TX 75231-0928
(214) 987-3376
(214) 736-3763
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
K0476
TX
207N00000X
Dermatology Physician
Primary
K0476
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
345883AK4Y
MEDICARE
TX
01
—
8GJ204
BLUE CROSS BLUE SHIELD
TX
Enumeration date
06/26/2006
Last updated
07/28/2025
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