Organization
LAURENCE R BOWER III MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURENCE R BOWER III MD (OWNER)
(830) 331-0125
Entity
Organization
Contact information
Practice address
128 W BANDERA ROAD #4, BOERNE, TX 78006
(830) 331-0610
(830) 331-1042
Mailing address
19A GRUENE PARK DRIVE, NEW BRAUNFELS, TX 78130-2459
(830) 632-7562
(830) 632-6793
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
J8926
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
157938501
—
TX
01
—
1659478303
INDIVIDUAL NPI
—
01
—
8EE312
BCBS
TX
Enumeration date
01/27/2014
Last updated
08/23/2018
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