Healthcare Provider Details

I. General information

NPI: 1346274511
Provider Name (Legal Business Name): FAMILY MEDICAL ASSOCIATES, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/11/2006
Last Update Date: 04/03/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

146 HIGHWAY 32 2A
ASHDOWN AR
71822-8689
US

IV. Provider business mailing address

146 HIGHWAY 32 2A
ASHDOWN AR
71822-8689
US

V. Phone/Fax

Practice location:
  • Phone: 870-898-5525
  • Fax: 870-898-8572
Mailing address:
  • Phone: 870-898-5525
  • Fax: 870-898-8572

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. VERNON DEAN BOWMAN JR.
Title or Position: OWNER
Credential: MD
Phone: 870-898-5525