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NPI Code Detail

MEDICARE: SAMARA R. BOWEN M.D.

MEDICARE: SAMARA R. BOWEN M.D.
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
1207P00000XEmergency Medicine PhysicianL9817TX

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
5P00232589OTHERTXRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
28R0081OTHERTXBLUE CROSS BLUE SHIELD
37890672OTHERTXAETNA
48958143OTHERTXCIGNA

General Provider Information

NPI Number : 1821141557
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAMARA R. BOWEN M.D.
Provider Business Mailing Address
First Line : 3280 JOE BATTLE BLVD
Second Line :
City : EL PASO
State : TX
Zip : 79938-2622
Country : US
Telephone Number : 773-991-2336
Fax Number :
Provider Business Practice Location Address
First Line : 3280 JOE BATTLE BLVD
Second Line :
City : EL PASO
State : TX
Zip : 79938-2622
Country : US
Telephone Number : 773-991-2336
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/18/2007
Last Update Date : 11/20/2014

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Directions to “ SAMARA R. BOWEN M.D.” Practice Location

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