Individual
DR. MITCHELL DEE BOWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6100 HARRIS PKWY, FORT WORTH, TX 76132-4124
(817) 433-1212
Mailing address
6100 HARRIS PKWY, FORT WORTH, TX 76132-4124
(817) 433-1212
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
H0200
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0048GV
BCBS
TX
05
—
137643611
—
TX
Enumeration date
05/16/2006
Last updated
02/07/2008
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