Individual
DR. MARK THOMAS BOWEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
ALEXANDRIA VAHCS, 2495 SHREVEPORT HWY, PINEVILLE, LA 71360-4044
(318) 473-0010
Mailing address
ALEXANDRIA VAHCS, 2495 SHREVEPORT HWY, PINEVILLE, LA 71360-4044
(318) 473-0010
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
932-143T
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1370886
—
LA
Enumeration date
01/30/2006
Last updated
09/13/2023
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