Individual
DR. TISHAN D BOWEN-GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
1201 W 38TH ST FL 8, AUSTIN, TX 78705-1006
(512) 324-1085
Mailing address
3108 E 51ST ST UNIT 202, AUSTIN, TX 78723-4695
(770) 789-3574
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
1115805
TX
Other
Enumeration date
10/11/2021
Last updated
06/15/2023
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