Provider Demographics
NPI:1285639344
Name:BOWERS, CHRIS G (DPM)
Entity Type:Individual
Prefix:DR
First Name:CHRIS
Middle Name:G
Last Name:BOWERS
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2909 S. HAMPTON RD
Mailing Address - Street 2:STE B-102
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75224
Mailing Address - Country:US
Mailing Address - Phone:214-337-8949
Mailing Address - Fax:214-339-0090
Practice Address - Street 1:2909 S. HAMPTON RD
Practice Address - Street 2:STE B-102
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75224
Practice Address - Country:US
Practice Address - Phone:214-337-8949
Practice Address - Fax:214-339-0090
Is Sole Proprietor?:No
Enumeration Date:2005-06-16
Last Update Date:2016-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1377213ES0103X, 213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
No213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
8J1211OtherBCBS
TXP00062358OtherRAIL ROAD MEDICARE
TX0185787-02Medicaid
5473733OtherAETNA
TX8F21952Medicare PIN
8J1211OtherBCBS
TX8A8305Medicare PIN