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1013539998
MICAH CHRISTIAN BOWMAN
SOUTHLAKE, TX
NPI
1013539998
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2020-05-13
Last Update Date
2021-04-12
Business Address
MICAH CHRISTIAN BOWMAN PA-C
2419 W SOUTHLAKE BLVD STE 100
SOUTHLAKE, TX 76092-1506
Phone number: 469-535-6842
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Mailing Address
MICAH CHRISTIAN BOWMAN PA-C
2419 W SOUTHLAKE BLVD STE 100
SOUTHLAKE, TX 76092-1506
Phone number: 817-809-2660
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