Healthcare Provider Details

I. General information

NPI: 1285639344
Provider Name (Legal Business Name): CHRIS G. BOWERS DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/16/2005
Last Update Date: 04/27/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2909 S. HAMPTON RD STE B-102
DALLAS TX
75224
US

IV. Provider business mailing address

2909 S. HAMPTON RD STE B-102
DALLAS TX
75224
US

V. Phone/Fax

Practice location:
  • Phone: 214-337-8949
  • Fax: 214-339-0090
Mailing address:
  • Phone: 214-337-8949
  • Fax: 214-339-0090

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number1377
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number1377
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: