Collin Bowe
Internal Medicine in Lake Charles, LA. Individual provider (NPI-1).
NPI number1760896625
StatusActive
Last updated in NPPESFeb 19, 2018
Details
- NPI
- 1760896625
- Entity type
- Individual (NPI-1)
- Name
- Collin Bowe
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 18, 2014
- Last updated
- Feb 19, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 307923 | LA | Yes |
Practice location
1717 Oak Park Blvd Fl 3Lake Charles, LA 70601-8990
Phone 337-480-8066
Mailing address
Po Box 122108 Dept 2108Dallas, TX 75312-2108
Phone 337-480-8066
Other practice locations
1978 Industrial Blvd
Houma, LA 70363-7055
Houma, LA 70363-7055
Phone 985-873-2200
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