Individual
DR. BRANDON WADE BOWEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
3392 HIGHWAY 259 NORTH, LONGVIEW, TX 75605
(903) 663-5885
(903) 663-0908
Mailing address
PO BOX 9066, LONGVIEW, TX 75608-9066
(903) 663-5885
(903) 663-0908
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC6817
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
089078201
—
TX
Enumeration date
12/11/2006
Last updated
07/08/2007
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