Provider Demographics
NPI:1477697837
Name:STOWE, BOBBIE GREY JR (DC)
Entity Type:Individual
Prefix:DR
First Name:BOBBIE
Middle Name:GREY
Last Name:STOWE
Suffix:JR
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3811 LAW
Mailing Address - Street 2:SUITE B
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77005-1123
Mailing Address - Country:US
Mailing Address - Phone:713-667-6656
Mailing Address - Fax:
Practice Address - Street 1:3811 LAW
Practice Address - Street 2:SUITE B
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77005-1123
Practice Address - Country:US
Practice Address - Phone:713-667-6656
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-19
Last Update Date:2010-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10526111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor