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NPI Code Detail

MEDICARE: INGRID DALE BOWLING SLP

MEDICARE: INGRID DALE BOWLING SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist19753TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
18T3751OTHERTXBCBS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1083839971
Entity Type Code : Individual
Provider Name (Legal Business Name) : INGRID DALE BOWLING SLP
Provider Business Mailing Address
First Line : 3801 BRINKMAN ST
Second Line :
City : HOUSTON
State : TX
Zip : 77018-6310
Country : US
Telephone Number : 832-788-4694
Fax Number :
Provider Business Practice Location Address
First Line : 6701 PINEMONT DR STE 200
Second Line :
City : HOUSTON
State : TX
Zip : 77092-3131
Country : US
Telephone Number : 832-788-4694
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/16/2007
Last Update Date : 01/25/2016

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Directions to “ INGRID DALE BOWLING SLP” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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