Individual
CHARLES BRADLEY BOWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10740 N CENTRAL EXPY, SUITE 350, DALLAS, TX 75231-2161
(214) 692-0146
(214) 692-1698
Mailing address
PO BOX 730486, DALLAS, TX 75373-0486
(214) 692-0146
(214) 692-1698
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
J6076
TX
207WX0120X
Cornea and External Diseases Specialist Physician
J6076
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
135801209
—
TX
05
—
135801210
—
TX
01
—
8X1371
BCBS
TX
Enumeration date
06/22/2006
Last updated
08/24/2023
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