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Organization
LAURENCE ROBERT BOWER III
Active
Organization
LAURENCE ROBERT BOWER III
Active
Parent organization
LAURENCE ROBERT BOWER III
Other names
MRI Now - Kerrville
Organization subpart
Yes
Provider details
NPI number
Legal business name
LAURENCE ROBERT BOWER III
Authorized official
PAULA D DELEON (ADMINISTRATOR)
(830) 632-7562
Entity
Organization
Contact information
Practice address
207B SIDNEY BAKER STREET S, KERRVILLE, TX 78028
(830) 496-3058
(830) 496-3034
Mailing address
19A GRUENE PARK DR, NEW BRAUNFELS, TX 78130-2484
(830) 632-7562
(830) 632-6793
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0971DC
BCBS
TX
05
—
365018602
—
TX
Enumeration date
05/04/2016
Last updated
08/23/2018
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