Provider Demographics
NPI:1700038841
Name:BOWERS, STEVEN PAUL (MD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:PAUL
Last Name:BOWERS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1101 E HWY. 175
Mailing Address - Street 2:SUITE 700
Mailing Address - City:CRANDALL
Mailing Address - State:TX
Mailing Address - Zip Code:75114
Mailing Address - Country:US
Mailing Address - Phone:214-662-0730
Mailing Address - Fax:972-287-3972
Practice Address - Street 1:1101 E HWY. 175
Practice Address - Street 2:SUITE 700
Practice Address - City:CRANDALL
Practice Address - State:TX
Practice Address - Zip Code:75114-2949
Practice Address - Country:US
Practice Address - Phone:214-662-0730
Practice Address - Fax:972-287-3972
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-21
Last Update Date:2008-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE0828207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine