Healthcare Provider Details

I. General information

NPI: 1750688529
Provider Name (Legal Business Name): DAVID CHRISTOPHER BOWDEN DC, MS, CES, ACP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/14/2011
Last Update Date: 02/14/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7410 BLANCO RD SUITE 400
SAN ANTONIO TX
78216-4363
US

IV. Provider business mailing address

7410 BLANCO RD SUITE 400
SAN ANTONIO TX
78216-4363
US

V. Phone/Fax

Practice location:
  • Phone: 214-769-2134
  • Fax: 866-298-4032
Mailing address:
  • Phone: 214-769-2134
  • Fax: 866-298-4032

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NS0005X
TaxonomySports Physician Chiropractor
License Number11685
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: