Provider Demographics
NPI:1083658132
Name:BOWEN, TIMOTHY ERIC (MD)
Entity Type:Individual
Prefix:DR
First Name:TIMOTHY
Middle Name:ERIC
Last Name:BOWEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:ERIC
Other - Middle Name:
Other - Last Name:BOWEN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:130 MEDICAL PARK PL
Mailing Address - Street 2:
Mailing Address - City:HOT SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:71901-8051
Mailing Address - Country:US
Mailing Address - Phone:501-625-3400
Mailing Address - Fax:501-625-3402
Practice Address - Street 1:130 MEDICAL PARK PL
Practice Address - Street 2:
Practice Address - City:HOT SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:71901-8051
Practice Address - Country:US
Practice Address - Phone:501-625-3400
Practice Address - Fax:501-625-3402
Is Sole Proprietor?:No
Enumeration Date:2006-06-16
Last Update Date:2013-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARC8229207RC0000X, 207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
ARP00402482OtherRAILROAD MEDICARE
AR127694001Medicaid
ARP00402482OtherRAILROAD MEDICARE
AR127694001Medicaid