DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DR. KANIKA ALAKE BOWEN-JALLOW MD

MEDICARE: DR. KANIKA ALAKE BOWEN-JALLOW 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
12086S0120XPediatric Surgery PhysicianN3512TX

General Provider Information

NPI Number : 1760686364
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KANIKA ALAKE BOWEN-JALLOW MD
Provider Business Mailing Address
First Line : PO BOX 733784
Second Line :
City : DALLAS
State : TX
Zip : 75373-3784
Country : US
Telephone Number : 682-885-6483
Fax Number : 682-885-3113
Provider Business Practice Location Address
First Line : 4200 W UNIVERSITY DR
Second Line :
City : PROSPER
State : TX
Zip : 75078-9805
Country : US
Telephone Number : 682-303-4200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2007
Last Update Date : 04/13/2021

Similar Medicare Providers

1306675525 — TAYLOR GILLEN PNP-AC
Practice Location Address:
4200 W UNIVERSITY DR
PROSPER, TX
75078-9805
Practice Phone: 682-303-4200
Practice Fax:
1801847728 — CENTER FOR PEDIATRIC SURGERY LTD
Practice Location Address:
4200 W UNIVERSITY DR STE 110
PROSPER, TX
75078-9805
Practice Phone: 972-300-0215
Practice Fax: 972-300-0231
1417901729 — PAMELA GARZA BURG MD
Practice Location Address:
4200 W UNIVERSITY DR
PROSPER, TX
75078-9805
Practice Phone: 682-303-4200
Practice Fax:
1730390204 — DR. SIVASANKER BAKTHAVACHALAM M.D.
Practice Location Address:
4200 W UNIVERSITY DR
PROSPER, TX
75078-9805
Practice Phone: 682-303-4200
Practice Fax: 682-303-4242
1720285117 — DR. SIFRANCE TRAN M.D.
Practice Location Address:
4200 W UNIVERSITY DR
PROSPER, TX
75078-9805
Practice Phone: 682-303-4200
Practice Fax: 682-303-4242
1184808933 — JOHN MARION ROBERTSON MD
Practice Location Address:
4200 W UNIVERSITY DR
PROSPER, TX
75078-9805
Practice Phone: 682-303-4200
Practice Fax: 682-303-4242

Directions to “ DR. KANIKA ALAKE BOWEN-JALLOW MD” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.