MEDICARE: BRENNA MARIE BOWMAN RD, PA-C

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	133V00000X	Registered Dietitian	DT84002	TX
2	363A00000X	Physician Assistant		TX

General Provider Information

NPI Number	:	1972093821
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRENNA MARIE BOWMAN RD, PA-C

Provider Business Mailing Address
First Line	:	920 FROSTWOOD DR
Second Line	:	SUITE 2300 FL 2
City	:	HOUSTON
State	:	TX
Zip	:	77024
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	10125 KATY FWY STE 106
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77024-1287
Country	:	US
Telephone Number	:	713-464-6000
Fax Number	:

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

Provider Enumeration Date	:	05/16/2018
Last Update Date	:	04/20/2026

Similar Medicare Providers

1023093291 — DR. ERIC SABONGHY M.D.
Practice Location Address:

10125 KATY FWY STE 100
HOUSTON, TX
77024-1287

Practice Phone: 713-486-1700
Practice Fax: 713-467-6682

1528037512 — RICHARD LEIGH BEAVER M.D.
Practice Location Address:

10125 KATY FWY STE 100
HOUSTON, TX
77024-1287

Practice Phone: 713-486-1700
Practice Fax: 713-467-6775

1417926718 — PAUL GREGORY SHUPE MD
Practice Location Address:

10125 KATY FWY STE 100
HOUSTON, TX
77024-1287

Practice Phone: 713-486-1700
Practice Fax: 713-467-6682

1437264728 — DR. JOHN ANTHONY PRIMOMO M.D.
Practice Location Address:

10125 KATY FWY STE 106
HOUSTON, TX
77024-1287

Practice Phone: 713-464-6000
Practice Fax: 713-464-6002

1588855779 — DR. RAJ HARRY SHANI MD
Practice Location Address:

10125 KATY FWY STE 100
HOUSTON, TX
77024-1287

Practice Phone: 713-486-1700
Practice Fax:

1043538937 — DR. TANYARADZWA KAJESE MD
Practice Location Address:

10125 KATY FWY STE 106
HOUSTON, TX
77024-1287

Practice Phone: 713-464-6000
Practice Fax: 713-464-6002

Directions to “ BRENNA MARIE BOWMAN RD, PA-C” 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.