Individual
KEITH EDWARD BOWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.S.T.
Contact information
Practice address
1651 W. ROSEDALE,, SUITE 200, FORT WORTH, TX 76104
(817) 335-4316
(817) 332-4465
Mailing address
P.O. BOX 961205, FORT WORTH, TX 76161-1205
(817) 740-8400
(817) 332-4465
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
CERT. # 050716
—
Other
Enumeration date
03/20/2007
Last updated
09/17/2009
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