Individual
JOHN BOWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4000
(713) 792-2991
Mailing address
P O BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
R3280
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
401062101
—
TX
01
—
401062102
CSHCN (MEDICAID)
TX
01
—
8LL427
BCBS
TX
Enumeration date
05/22/2014
Last updated
10/04/2019
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