MEDICARE: DR. WILLIAM T BOWERS M.D.

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	208600000X	Surgery Physician	D0061	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1336144674
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM T BOWERS M.D.

Provider Business Mailing Address
First Line	:	811 W INTERSTATE 20
Second Line	:	SUITE 212
City	:	ARLINGTON
State	:	TX
Zip	:	76017-5870
Country	:	US
Telephone Number	:	817-275-3309
Fax Number	:	817-265-0071

Provider Business Practice Location Address
First Line	:	811 W INTERSTATE 20
Second Line	:	SUITE 212
City	:	ARLINGTON
State	:	TX
Zip	:	76017-5870
Country	:	US
Telephone Number	:	817-275-3309
Fax Number	:	817-265-0071

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

Provider Enumeration Date	:	06/14/2005
Last Update Date	:	05/23/2016

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Directions to “ DR. WILLIAM T BOWERS M.D.” Practice Location

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