MEDICARE: DR. ALFRED PALMER BOWLES II 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	208600000X	Surgery Physician	J9983	TX

General Provider Information

NPI Number	:	1710966312
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALFRED PALMER BOWLES II MD

Provider Business Mailing Address
First Line	:	6115 HART GLN
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78249-2481
Country	:	US
Telephone Number	:	210-691-0281
Fax Number	:

Provider Business Practice Location Address
First Line	:	5711 UNIVERSITY HTS
Second Line	:	SUITE 100
City	:	SAN ANTONIO
State	:	TX
Zip	:	78249-1835
Country	:	US
Telephone Number	:	210-582-0583
Fax Number	:

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

Provider Enumeration Date	:	01/11/2006
Last Update Date	:	07/08/2007

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