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1326700048
TISHAN D BOWEN-GORDON
AUSTIN, TX
NPI
1326700048
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LN0000X Nurse Practitioner, Neonatal
(Licence: TX 1115805)
Enumeration Date
2021-10-11
Last Update Date
2023-06-15
Business Address
Dr. TISHAN D BOWEN-GORDON DNP
1201 W 38TH ST FL 8
AUSTIN, TX 78705-1006
Phone number: 512-324-1085
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Mailing Address
Dr. TISHAN D BOWEN-GORDON DNP
3108 E 51ST ST UNIT 202
AUSTIN, TX 78723-4695
Phone number: 770-789-3574
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