Individual
SAMARA R. BOWEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3280 JOE BATTLE BLVD, EL PASO, TX 79938-2622
(773) 991-2336
Mailing address
3280 JOE BATTLE BLVD, EL PASO, TX 79938-2622
(773) 991-2336
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
L9817
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1687212-01
—
TX
01
—
7890672
AETNA
TX
01
—
8958143
CIGNA
TX
01
—
8R0081
BLUE CROSS BLUE SHIELD
TX
01
—
P00232589
RAILROAD MEDICARE
TX
Enumeration date
01/18/2007
Last updated
11/20/2014
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