Organization
RICHARD G BOWLING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY BETH BOWLING (OFFICE MANAGER)
(409) 729-3668
Entity
Organization
Contact information
Practice address
3133 SABA LN, PORT NECHES, TX 77651-5421
(409) 729-3668
(409) 729-3670
Mailing address
3133 SABA LN, PORT NECHES, TX 77651-5421
(409) 729-3668
(409) 729-3670
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1304
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018836901
—
TX
Enumeration date
02/12/2008
Last updated
06/01/2011
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