Provider Demographics
NPI:1720447360
Name:BOWLING, RENEE ANN (RN)
Entity Type:Individual
Prefix:
First Name:RENEE
Middle Name:ANN
Last Name:BOWLING
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3701 W ALABAMA ST
Mailing Address - Street 2:SUITE 230
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77027-5290
Mailing Address - Country:US
Mailing Address - Phone:713-963-8880
Mailing Address - Fax:713-963-9058
Practice Address - Street 1:3701 W ALABAMA ST
Practice Address - Street 2:SUITE 230
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77027-5290
Practice Address - Country:US
Practice Address - Phone:713-963-8880
Practice Address - Fax:713-963-9058
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-10
Last Update Date:2016-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX553866163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse