| Doctor Name: | MR. MICHAEL LEE BOWMAN |
| NPI Number: | 1124150693 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | OPA-C |
| License Number: | OPA-C #1000 NBCOPA |
| Business Practice Address: | 126 N Boyce Ln Ft Worth, TX - 761089656 |
| Business Phone Number: | 8174489022 |
| Business Fax Number: | 8174489092 |
| Mailing Address: | 126 N Boyce Ln, FT WORTH |
| State: | TX |
| Postal Code: | 761089656 |
| Phone Number: | 8174489022 |
| Fax Number: | 8174489092 |
| NPI Enumeration Date: | 03/11/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AS0400X |
| License Number: | OPA-C #1000 NBCOPA |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Surgical |
| Taxonomy Definition: | |