Provider Demographics
NPI:1477332112
Name:BOWIE FOOT AND ANKLE
Entity type:Organization
Organization Name:BOWIE FOOT AND ANKLE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HOWARD
Authorized Official - Middle Name:MIDDLE NAME
Authorized Official - Last Name:HOROWITZ
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:301-464-5900
Mailing Address - Street 1:14999 HEALTH CENTER DR STE 112
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20716-1079
Mailing Address - Country:US
Mailing Address - Phone:301-464-5900
Mailing Address - Fax:512-549-8344
Practice Address - Street 1:14999 HEALTH CENTER DR STE 112
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20716-1079
Practice Address - Country:US
Practice Address - Phone:301-464-5900
Practice Address - Fax:512-549-8344
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-22
Last Update Date:2023-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty