| Julie B Gowen Pllc | |
|
16607 Blanco Rd Suite 12101 San Antonio TX 78232-1913 | |
| (210) 219-4991 | |
| (210) 399-0751 |
| Full Name | Julie B Gowen Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 16607 Blanco Rd, San Antonio, Texas |
| Authorized Official Name and Position | Julie Gowen (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 2102194991 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Julie B Gowen Pllc 10106 Lorene Ln San Antonio TX 78216-4407 Ph: () - | Julie B Gowen Pllc 16607 Blanco Rd Suite 12101 San Antonio TX 78232-1913 Ph: (210) 219-4991 |
| NPI Number | 1609168111 |
|---|---|
| Provider Enumeration Date | 05/03/2011 |
| Last Update Date | 05/03/2011 |
| Medicare PECOS PAC ID | 5092984237 |
|---|---|
| Medicare Enrollment ID | O20110804000633 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609168111 | NPI | - | NPPES |
| 8D6807 | Other | TX | MEDICARE ID - UNSPECIFIED |
| 86509Q | Other | TX | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 26712 (Texas) | Primary |
| Provider Name | Julie B Gowen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033294046 PECOS PAC ID: 9739173105 Enrollment ID: I20040409000482 |
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