Individual
KEVIN RUDY BOWER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1901 N MACARTHUR BLVD, IRVING, TX 75061-2220
(972) 579-8110
Mailing address
800 GATESHEAD CT, SOUTHLAKE, TX 76092-6363
(817) 481-6590
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
G7169
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
82246F
BCBS
TX
01
—
8K9551
BCBS
TX
Enumeration date
10/06/2005
Last updated
03/25/2008
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