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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