Bowen, Billie Ruth

Bowen, Billie Ruth is an sole proprietor health care provider with primary practice located at 7252 Princedale , Tyler TX 75703-0548. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Bowen, Billie Ruth can be contacted via phone (903) 561-3600.

Contact Information

Primary practice address
7252 Princedale Tyler TX 75703-0548
Fax: (903) 565-4020
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 14741 Texas

Profile Details

NPI number 1174590046
LBN Legal business name Bowen, Billie Ruth
Credentials LICENSED PROFESSIONA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 1st, 2006
Last updated May 23rd, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174590046 NPPES
Texas MEDICAID 121978406
Texas MEDICAID 121978407

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