| Doctor Name: | MELANIE D BOWEN |
| NPI Number: | 1255529905 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 641834 |
| Business Practice Address: | 251 Westpark Way Ste 210 Euless, TX - 760403742 |
| Business Phone Number: | 6822363656 |
| Business Fax Number: | 8558139308 |
| Mailing Address: | 251 Westpark Way Ste 210, EULESS |
| State: | TX |
| Postal Code: | 760403742 |
| Phone Number: | 6822363656 |
| Fax Number: | 8558139308 |
| NPI Enumeration Date: | 10/09/2007 |
| NPI Last Update Date: | 09/02/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 641834 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |