# LAURENCE ROBERT BOWER III

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CENTRAL TEXAS OPEN MRI
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841397502
- **Authorized official:** PAULA DELEON (ADMINISTRATOR)
- **Authorized official phone:** (830) 632-7562

## Contact information

- **Practice address:** 19A GRUENE PARK DRIVE, NEW BRAUNFELS, TX 78130
- **Practice address phone:** (830) 606-1200
- **Practice address fax:** (830) 606-1276
- **Mailing address:** 19A GRUENE PARK DR, NEW BRAUNFELS, TX 78130-2484
- **Mailing address phone:** (830) 632-7562
- **Mailing address fax:** (830) 632-6793

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0200X | Radiology Clinic/Center | — | TX | Yes |

## Other

- **Enumeration date:** 09/17/2006
- **Last updated:** 08/23/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0047RG | BLUECROSS BLUESHIELD | TX |
| 05 | — | 364400701 | — | TX |