NPI | 1225211352 |
---|---|
Former Legal Business Name | J. BRAD BOWDEN M.D., P.A. |
Entity Type | Organization |
Authorized Contact | JOHN BRADFORD BOWDEN Owner 713-522-7411 |
Organization Subpart ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: TX H6065) |
Additional Taxonomies | 174400000X Specialist (Licence: TX H6065) |
Enumeration Date | 2007-12-12 |
Last Update Date | 2010-11-16 |