Bowman, Micah Christian

Bowman, Micah Christian is an sole proprietor health care provider with primary practice located at 2419 W Southlake Blvd Ste 100 , Southlake TX 76092-1506. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Bowman, Micah Christian can be contacted via phone (469) 535-6842.

Contact Information

Primary practice address
2419 W Southlake Blvd Ste 100 Southlake TX 76092-1506
Phone: (469) 535-6842
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1013539998
LBN Legal business name Bowman, Micah Christian
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 13th, 2020
Last updated Apr 12th, 2021 - about 5 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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