MEDICARE: ANDREW N BOWSER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2086S0129X	Vascular Surgery Physician	ME82783	FL
2	2086S0129X	Vascular Surgery Physician	35.072293	OH
3	2086S0129X	Vascular Surgery Physician	M9170	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	8F8668	OTHER	TX	MEDICARE INDIVIDUAL PTAN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	8BK510	OTHER	TX	BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1013950567
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREW N BOWSER MD

Provider Business Mailing Address
First Line	:	205 W WINDCREST ST STE 130
Second Line	:
City	:	FREDERICKSBURG
State	:	TX
Zip	:	78624-4478
Country	:	US
Telephone Number	:	830-997-7138
Fax Number	:	830-997-8678

Provider Business Practice Location Address
First Line	:	205 W WINDCREST ST STE 130
Second Line	:
City	:	FREDERICKSBURG
State	:	TX
Zip	:	78624-4478
Country	:	US
Telephone Number	:	830-997-7138
Fax Number	:	830-997-8678

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/13/2006
Last Update Date	:	07/21/2022

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Directions to “ ANDREW N BOWSER MD” Practice Location

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