Provider Demographics
NPI:1750369955
Name:BOWLES, KARLA RENEE (PHD, FACMG, CGMB)
Entity type:Individual
Prefix:DR
First Name:KARLA
Middle Name:RENEE
Last Name:BOWLES
Suffix:
Gender:F
Credentials:PHD, FACMG, CGMB
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:826 PRESLEY WAY
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-5268
Mailing Address - Country:US
Mailing Address - Phone:281-565-5734
Mailing Address - Fax:832-825-5159
Practice Address - Street 1:320 WAKARA WAY
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84108
Practice Address - Country:US
Practice Address - Phone:801-584-3062
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-06
Last Update Date:2020-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2002011207SG0203X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207SG0203XAllopathic & Osteopathic PhysiciansMedical GeneticsClinical Molecular Genetics