Provider Demographics
NPI:1437124948
Name:BOWLES, JAMESON A (DO)
Entity type:Individual
Prefix:
First Name:JAMESON
Middle Name:A
Last Name:BOWLES
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17516 US HIGHWAY 59
Mailing Address - Street 2:STE 100
Mailing Address - City:NEW CANEY
Mailing Address - State:TX
Mailing Address - Zip Code:77357-8716
Mailing Address - Country:US
Mailing Address - Phone:832-855-3080
Mailing Address - Fax:
Practice Address - Street 1:17516 US HIGHWAY 59
Practice Address - Street 2:STE 100
Practice Address - City:NEW CANEY
Practice Address - State:TX
Practice Address - Zip Code:77357-8718
Practice Address - Country:US
Practice Address - Phone:832-246-7250
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-02-18
Last Update Date:2019-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM3477207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX186827504Medicaid
TX1437124948OtherBCBSTX
TX8X7941OtherBCBSTX PROVIDER NUMBER
TX1437124948OtherTRICARE SOUTH
TX186827501Medicaid
TX186827502Medicaid
TX8X7941OtherBCBSTX PROVIDER NUMBER
TX1437124948OtherBCBSTX
TX8J5728Medicare PIN
TX1437124948OtherTRICARE SOUTH
TX186827501Medicaid
TXP00415887Medicare PIN