Provider Demographics
NPI:1134278575
Name:NAYFA-BOWDEN, DONNA LOUISE (DC)
Entity Type:Individual
Prefix:DR
First Name:DONNA
Middle Name:LOUISE
Last Name:NAYFA-BOWDEN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2221 JUSTIN RD
Mailing Address - Street 2:SUITE 119-324
Mailing Address - City:FLOWER MOUND
Mailing Address - State:TX
Mailing Address - Zip Code:75028-4825
Mailing Address - Country:US
Mailing Address - Phone:903-530-5362
Mailing Address - Fax:
Practice Address - Street 1:2250 HIGHLAND VILLAGE RD
Practice Address - Street 2:SUITE 200
Practice Address - City:HIGHLAND VILLAGE
Practice Address - State:TX
Practice Address - Zip Code:75077-7146
Practice Address - Country:US
Practice Address - Phone:972-317-9355
Practice Address - Fax:972-317-3366
Is Sole Proprietor?:No
Enumeration Date:2007-01-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6580111N00000X, 111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered111N00000XChiropractic ProvidersChiropractor
Not Answered111NN1001XChiropractic ProvidersChiropractorNutrition
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXC06054351Medicaid
TXU61679Medicare UPIN
TXC06054351Medicaid