Individual
SALLY BOWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED.,RD/LD
Contact information
Practice address
2308 LAKE AUSTIN BLVD, AUSTIN, TX 78703-4546
(512) 469-7676
(512) 236-1774
Mailing address
2308 LAKE AUSTIN BLVD, AUSTIN, TX 78703-4546
(512) 469-7676
(512) 236-1774
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
04811
TX
Other
Enumeration date
02/01/2010
Last updated
02/01/2010
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