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Individual

LADORIS BEATRICE BOWERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, APRN, FNP-C

Contact information

Practice address
1602 ROCK PRAIRIE RD STE 3000, COLLEGE STATION, TX 77845-5989
(979) 774-3232
(979) 690-4895
Mailing address
1602 ROCK PRAIRIE RD STE 3000, COLLEGE STATION, TX 77845-5989
(979) 774-3232
(979) 690-4895

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP1444455
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1245854595
TX
01
8SY322
BCBS PROVIDER ID
TX
Enumeration date
06/02/2020
Last updated
10/01/2025
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