Individual
DR. ALAN CLAY GOWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2401 S 31ST ST, TEMPLE, TX 76508-0001
(254) 724-2111
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-2111
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
L5346
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1658197-01
CSHCN
TX
05
—
1658197-01
—
TX
01
—
8P1480
BLUE SHIELD
TX
01
—
P00227226
RR/MEDICARE
TX
Enumeration date
03/25/2006
Last updated
12/10/2021
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