Provider Demographics
NPI:1427805423
Name:BOWSER, SHERIDAN C (DC)
Entity type:Individual
Prefix:DR
First Name:SHERIDAN
Middle Name:C
Last Name:BOWSER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3846 W DAVIS ST STE 200
Mailing Address - Street 2:
Mailing Address - City:CONROE
Mailing Address - State:TX
Mailing Address - Zip Code:77304-1975
Mailing Address - Country:US
Mailing Address - Phone:936-202-2436
Mailing Address - Fax:
Practice Address - Street 1:3846 W DAVIS ST STE 200
Practice Address - Street 2:
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77304-1975
Practice Address - Country:US
Practice Address - Phone:936-202-2436
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-06
Last Update Date:2024-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX16003111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty