MEDICARE: MRS. ROSE GOWEN 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	207V00000X	Obstetrics & Gynecology Physician	9089925	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	:	1912902032
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ROSE GOWEN M.D.

Provider Business Mailing Address
First Line	:	1706 TREASURE HILLS BLVD
Second Line	:
City	:	HARLINGEN
State	:	TX
Zip	:	78550-8911
Country	:	US
Telephone Number	:	956-365-6779
Fax Number	:

Provider Business Practice Location Address
First Line	:	4000 FM RD 511
Second Line	:
City	:	BROWNSVILLE
State	:	TX
Zip	:	78526-9492
Country	:	US
Telephone Number	:	956-831-8338
Fax Number	:

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

Provider Enumeration Date	:	06/15/2005
Last Update Date	:	11/14/2011

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