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General NPI Number Information
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NPI Number | 1619074002
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Entity Type | Individual
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Provider Name | THERON CHESTER BOWERS JR. MD
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Gender | Male
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 2002 HOLCOMBE BLVD
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City | HOUSTON
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State | TX
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Zip | 77030-4211
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Country | US
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Telephone | 713-791-1414
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Fax |
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Provider Business Mailing Address
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Address Line | 6126 DUMFRIES ST
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City | HOUSTON
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State | TX
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Zip | 77096
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Country | US
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Telephone | 713-776-9520
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Fax | 713-271-4778
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | H3855
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 2084P0805X
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Taxonomy Name | Geriatric Psychiatry Physician
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License Number | H3855
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License Number State | TX
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