Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | C8229 | AR |
Y | 207RI0011X | Interventional Cardiology | C8229 | AR |
NPI | 1083658132 |
---|---|
Provider Name | Dr. Timothy Eric Bowen |
First Address | Hot Springs, AR 71901-8051 |
Second Address | Hot Springs, AR 71901-8051 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/06/2006 |
Last Update Date | 24/01/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
127694001 | (05) | AR |
G10491 | (02) | AR |
P00402482 | RAILROAD MEDICARE (01) | AR |