Individual
DR. DARRELL LYNN BOWYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.,P.A.
Contact information
Practice address
11797 SOUTH FWY, STE 250, BURLESON, TX 76028-7035
(817) 293-8330
(817) 293-8394
Mailing address
11797 SOUTH FWY, STE 250, BURLESON, TX 76028-7035
(817) 293-8330
(817) 293-8394
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
752491299
TX
207V00000X
Obstetrics & Gynecology Physician
Primary
J3053
TX
207VX0000X
Obstetrics Physician
J3053
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
099136601
—
TX
05
—
1366445066
—
TX
01
—
752491299
TAX ID.#
TX
Enumeration date
05/27/2005
Last updated
04/21/2020
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