Individual
DR. RICHARD G BOWLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
2501 JIMMY JOHNSON BLVD, #400, PORT ARTHUR, TX 77640
(409) 729-5633
(409) 729-9760
Mailing address
3650 LAUREL AVENUE, BEAUMONT, TX 77707
(409) 838-0346
(409) 839-3720
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
1304
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00U60X
BCBS
TX
05
—
018836901
—
TX
01
—
15486
UTMB-CHIPS
UT
01
—
20300
GTPA
TX
01
—
5116373
AETNA
TX
01
—
8778423210
UNITED HEALTHCARE
TX
01
—
9019276
CIGNA
TX
Enumeration date
07/07/2005
Last updated
02/03/2015
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