Individual
DR. MARY TALLEY BOWDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3600 KIRBY DR STE F, HOUSTON, TX 77098-3941
(713) 492-2340
(713) 510-1912
Mailing address
1740 W 27TH ST, SUITE 234, HOUSTON, TX 77008-1440
(713) 802-9779
(713) 802-2289
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
K9770
TX
207YS0012X
Sleep Medicine (Otolaryngology) Physician
Primary
K9770
TX
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
K9770
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8J9960
BLUE CROSS BLUE SHIELD
TX
Enumeration date
10/24/2006
Last updated
08/29/2019
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