=====================================================
General NPI Number Information
=====================================================
NPI Number | 1093144644
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | MARGARET ELIZABETH BOWERS M.S., CCC/A
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/04/2013
-----------------------------------------------------
Last Update Date | 11/04/2013
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 208 N MAIN ST
-----------------------------------------------------
City | GRAND SALINE
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 75140-1846
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 903-962-5526
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 230 VZCR 1523
-----------------------------------------------------
City | GRAND SALINE
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 75140-5702
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 214-929-4866
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 231H00000X
-----------------------------------------------------
Taxonomy Name | Audiologist
-----------------------------------------------------
License Number | 51471
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------