Provider Demographics
NPI:1063777985
Name:BOWKER, HAROLD DEAN III (MD)
Entity type:Individual
Prefix:
First Name:HAROLD
Middle Name:DEAN
Last Name:BOWKER
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4445 MILL RUN RD
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75244-6430
Mailing Address - Country:US
Mailing Address - Phone:919-604-2185
Mailing Address - Fax:214-853-5605
Practice Address - Street 1:16633 DALLAS PKWY STE 100
Practice Address - Street 2:
Practice Address - City:ADDISON
Practice Address - State:TX
Practice Address - Zip Code:75001-6894
Practice Address - Country:US
Practice Address - Phone:919-604-2185
Practice Address - Fax:214-853-5608
Is Sole Proprietor?:No
Enumeration Date:2012-07-06
Last Update Date:2023-01-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI43011121102086S0122X
AZR73514208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgery