Individual
MATTHEW RICHARD BOWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2401 S 31ST ST, TEMPLE, TX 76508-5700
(254) 724-2111
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-2111
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
N7400
TX
2086X0206X
Surgical Oncology Physician
Primary
N7400
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3581771000
PASSPORT ADVANTAGE
KY
01
—
50021606
PASSPORT
KY
05
—
7100067280
—
KY
Enumeration date
05/21/2007
Last updated
12/03/2021
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