| 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 |