Provider Demographics
NPI:1720596927
Name:BOWEN, CRAIG (PT, DPT)
Entity Type:Individual
Prefix:
First Name:CRAIG
Middle Name:
Last Name:BOWEN
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8627 CINNAMON CREEK DR STE 402
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78240-1482
Mailing Address - Country:US
Mailing Address - Phone:210-519-0191
Mailing Address - Fax:210-888-1279
Practice Address - Street 1:12952 BANDERA RD STE 107
Practice Address - Street 2:
Practice Address - City:HELOTES
Practice Address - State:TX
Practice Address - Zip Code:78023-4733
Practice Address - Country:US
Practice Address - Phone:210-372-9600
Practice Address - Fax:210-392-9923
Is Sole Proprietor?:No
Enumeration Date:2018-01-22
Last Update Date:2020-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1300060225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist