Jaa'Lah B Bowser
Individual provider Active NPI Athletic Trainer · Caldwell, TX
NPI 1245081645 · NPPES record last updated Apr 1, 2024
Key facts
- NPI
- 1245081645
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- Practice address
- 5239 FM 2039
Caldwell, TX 77836-4996 - Phone
- (979) 739-4902
- NPI assigned
- Apr 1, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | Yes |
Addresses
Primary practice location
5239 FM 2039
Caldwell, TX 77836-4996
Mailing address
5239 FM 2039
Caldwell, TX 77836-4996
Phone (979) 739-4902
Other providers in Caldwell, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 1, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.