Individual
RODNEY R. BOWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
815 PENNSYLVANIA AVE, FORT WORTH, TX 76104-2224
(817) 321-0387
Mailing address
816 W CANNON ST, FORT WORTH, TX 76104-3146
(817) 321-0404
(469) 522-6889
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
K4640
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1841116-02
—
TX
05
—
184111601
—
TX
01
—
8G6047
MEDICARE 'DALLAS COUNTY'
TX
01
—
8G6048
MEDICARE 'OTHER COUNTIES'
TX
Enumeration date
05/11/2006
Last updated
06/20/2018
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