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NPI Code Detail

MEDICARE: DR. THOMAS EDWARD BOWDEN JR. M.D.

MEDICARE:  DR. THOMAS EDWARD BOWDEN JR. 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
1207PE0004XEmergency Medical Services (Emergency Medicine) Physician09753RLA

Other Identifiers

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

General Provider Information

NPI Number : 1922001890
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. THOMAS EDWARD BOWDEN JR. M.D.
Provider Business Mailing Address
First Line : 321 WINDERMERE OAKS EAST
Second Line :
City : MADISONVILLE
State : LA
Zip : 70447
Country : US
Telephone Number : 985-845-0093
Fax Number :
Provider Business Practice Location Address
First Line : 1900 MAIN ST
Second Line :
City : FRANKLINTON
State : LA
Zip : 70438-3688
Country : US
Telephone Number : 985-795-5469
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2005
Last Update Date : 07/09/2007

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