Individual
JACQUELYN MARIE BOWERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3500 GASTON AVE, DALLAS, TX 75246-2017
(800) 422-9567
Mailing address
3500 GASTON AVENUE, BAYLOR UNIVERSITY MEDICAL CENTER, DALLAS, TX 75246
(800) 422-9567
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD.201347
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21487
—
LA
Enumeration date
05/25/2007
Last updated
10/10/2018
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