Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2086S0129X | Vascular Surgeon | 35.072293 | OH |
Y | 2086S0129X | Vascular Surgeon | M9170 | TX |
N | 2086S0129X | Vascular Surgeon | ME82783 | FL |
NPI | 1013950567 |
---|---|
Provider Name | Andrew N Bowser |
First Address | Fredericksburg, TX 78624-4478 |
Second Address | Fredericksburg, TX 78624-4478 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2006 |
Last Update Date | 28/06/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1947038-01 | (05) | TX |
8BK510 | BCBS (01) | TX |
8F8668 | MEDICARE INDIVIDUAL PTAN (01) | TX |