Provider Demographics
NPI:1467328146
Name:BOWES, PATRICIA LEANNE
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:LEANNE
Last Name:BOWES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:TRICIA
Other - Middle Name:LEANNE
Other - Last Name:BOWES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:7060 CAMP BOWIE BLVD
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76116-7119
Mailing Address - Country:US
Mailing Address - Phone:817-814-2000
Mailing Address - Fax:
Practice Address - Street 1:2100 LINCOLN AVE
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76164-8036
Practice Address - Country:US
Practice Address - Phone:817-814-4500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-11
Last Update Date:2025-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX122016235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist