Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0207X | Pediatric Hematology-Oncologist | G4087 | TX |
NPI | 1184636078 |
---|---|
Provider Name | William P Bowman |
First Address | Fort Worth, TX 76199-0371 |
Second Address | Fort Worth, TX 76104-2710 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/08/2006 |
Last Update Date | 02/04/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00257T | MEDICARE GROUP LOCALITY 99 (01) | TX |
00U87Z | BCBSTX GRP PIN (01) | TX |
00U87Z | MEDICARE GROUP (01) | TX |
10028686 | AMERIGROUP PIN (01) | TX |
100707 | SUPERIOR PIN (01) | TX |
108985100 | FIRSTCARE PIN (01) | TX |
134732011 | (05) | TX |
134732012 | CSHCN (01) | TX |
134732013 | MEDICAID LOCALITY 99 (01) | TX |
134732014 | CSHCN LOCALITY 99 (01) | TX |
137345810 | CSHCN GROUP (01) | TX |
139314 | PHCS PIN (01) | TX |
140442852 | MEDICAID GROUP (01) | TX |
150220508 | MEDICAID GROUP LOCALITY 99 (01) | TX |
150220509 | CSHCN LOCALITY 99 (01) | TX |
2599093 | CIGNA PIN (01) | TX |
40172 | FIRSTHEALTH PIN (01) | TX |
4019271 | AETNA PIN (01) | TX |
60438 | UHC PIN (01) | TX |
81X460 | BCBSTX IND PIN (01) | TX |
8L21944 | MEDICARE PIN LOCALITY 99 (01) | TX |
C13659 | (02) | TX |