Individual
DR. MICHAEL LAWRENCE BOWEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
545 E REDD RD, SUITE C-2, EL PASO, TX 79912-1293
(915) 298-1008
(915) 298-1009
Mailing address
545 E REDD RD, SUITE C2, EL PASO, TX 79912-1293
(915) 298-1008
(915) 298-1009
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
M6539
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3100802-02
—
TX
Enumeration date
01/12/2007
Last updated
09/17/2013
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