Provider Demographics
NPI:1346274511
Name:FAMILY MEDICAL ASSOCIATES, P.A.
Entity Type:Organization
Organization Name:FAMILY MEDICAL ASSOCIATES, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:VERNON
Authorized Official - Middle Name:DEAN
Authorized Official - Last Name:BOWMAN
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:870-898-5525
Mailing Address - Street 1:146 HIGHWAY 32 2A
Mailing Address - Street 2:
Mailing Address - City:ASHDOWN
Mailing Address - State:AR
Mailing Address - Zip Code:71822-8689
Mailing Address - Country:US
Mailing Address - Phone:870-898-5525
Mailing Address - Fax:870-898-8572
Practice Address - Street 1:146 HIGHWAY 32 2A
Practice Address - Street 2:
Practice Address - City:ASHDOWN
Practice Address - State:AR
Practice Address - Zip Code:71822-8689
Practice Address - Country:US
Practice Address - Phone:870-898-5525
Practice Address - Fax:870-898-8572
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-11
Last Update Date:2008-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR5F361Medicare PIN
TX00X685Medicare PIN