45D1026388 CLIA NUMBER - DARRELL L BOWYER, MDPA

Laboratory Demographics

CLIA Number: 45D1026388

Facility Name: DARRELL L BOWYER, MDPA

Facility Address:
11797 S FRWY, STE 250
BURLESON, TX
ZIP 76028
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Facility Phone Number: 817 293-8330

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1366445066

Taxonomy: 207V00000X - Obstetrics & Gynecology
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

CLIA Record

Field Name	Field Value
CLIA Number	45D1026388
LAB Type	Physician Office
Facility Name	DARRELL L BOWYER, MDPA
Street	11797 S FRWY, STE 250
City	BURLESON
State	TX
ZIP	76028
Phone	817 293-8330
CertificateType	4
CertificateEffectiveDate	6/3/2022
CertificateExpirationDate	6/2/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024