Search › Texas › 363LA2200X
Jeta Bowman, AGNP
NPI 1366899288 · on the registry since 2016
Practice
- Address
- 520 Douglas Blvd
Tyler, TX 75702 - Phone
- (903) 606-1721
- Organisation at this address
- Christus Trinity Clinic Texas
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 37
Additional practice sites
- 520 Douglas Blvd, Tyler, TX
Registry record
- Primary taxonomy
- 363LA2200X
363LA2200X
- Also registered as
- 363LG0600X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-07-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas