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Individual

DR. JASON E BOWLING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
903 W MARTIN ST, SAN ANTONIO, TX 78207-0903
(210) 358-3710
(210) 358-5941
Mailing address
903 W MARTIN ST, SAN ANTONIO, TX 78207-0903
(210) 358-3710
(210) 358-5941

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
L6802
TX
207RI0200X
Infectious Disease Physician
Primary
L6802
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
161299602
TX
01
8R7680
BLUE CROSS BLUE SHIELD
TX
01
P00210385
RAILROAD MEDICARE
TX
Enumeration date
07/19/2006
Last updated
08/07/2024
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