Micah Christian Bowman, PA-C

NPI #1013539998 in Southlake, Texas

Provider Information

NPI Number
1013539998
Entity Type
Individual
Name
Micah Christian Bowman, PA-C
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physician Assistant
Credential
PA-C
Enumeration Date
May 13, 2020
Last Updated
Apr 12, 2021

Practice Location

Address
2419 W SOUTHLAKE BLVD STE 100
State
Texas
ZIP Code
76092-1506
Phone
(469) 535-6842

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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