Provider Demographics
NPI:1548471865
Name:BOWEN, REBECCA C (MD)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:C
Last Name:BOWEN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:4775 HAMILTON WOLFE RD STE 1
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-3456
Mailing Address - Country:US
Mailing Address - Phone:210-616-0283
Mailing Address - Fax:210-616-0071
Practice Address - Street 1:5055 A ST STE 300
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68510-4970
Practice Address - Country:US
Practice Address - Phone:402-488-5600
Practice Address - Fax:402-488-7649
Is Sole Proprietor?:No
Enumeration Date:2007-05-25
Last Update Date:2023-06-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NE30114207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXP3291OtherMEDICAL LICENSE