Bowen, Deanna Kim

Bowen, Deanna Kim is an individual health care provider with primary practice located at 1110 N Buckner Blvd Ste 102 , Dallas TX 75218-3498. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Bowen, Deanna Kim can be contacted via phone (214) 660-2020.

Contact Information

Primary practice address
1110 N Buckner Blvd Ste 102 Dallas TX 75218-3498
Phone: (214) 660-2020
Fax: (214) 660-2017
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 501464 Texas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 501464 Texas

Profile Details

NPI number 1922058353
LBN Legal business name Bowen, Deanna Kim
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2006
Last updated Sep 2nd, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922058353 NPPES
Texas MEDICAID 166253803
Texas MEDICAID 166253804
Texas Other NP7208
Texas MEDICAID 166253805

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