Heather L Bowles

NPI #1114151974 in Larue, Texas

Provider Information

NPI Number
1114151974
Entity Type
Organization
Organization Name
Heather L Bowles
Primary Specialty
General Practice
Enumeration Date
May 8, 2009
Last Updated
Mar 16, 2012

Practice Location

Address
4390 PINE CREST DR
City
Larue
State
Texas
ZIP Code
75770-4758
Phone
(800) 478-7902

Authorized Official

Name
MRS. HEATHER L BOWLES
Title
OWNER/CEO
Phone
(800) 478-7902

Specialties & Taxonomy Codes

Specialty
General Practice

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