Organization
GREENBRIAR DERMATOLOGY, P.A.
Active
Organization
GREENBRIAR DERMATOLOGY, P.A.
Active
Other names
J. Brad Bowden M.D., P.A.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN BRADFORD BOWDEN M.D. (OWNER)
(713) 522-7411
Entity
Organization
Contact information
Practice address
2211 NORFOLK, SUITE 405, HOUSTON, TX 77098-4054
(713) 522-7411
(713) 522-7452
Mailing address
2211 NORFOLK, SUITE 405, HOUSTON, TX 77098-4054
(713) 522-7411
(713) 522-7452
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
H6065
TX
207N00000X
Dermatology Physician
Primary
H6065
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0009RC
BCBS
TX
05
—
131854503
—
TX
Enumeration date
12/12/2007
Last updated
11/16/2010
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