Laurence Robert Bower III

NPI #1104271576 in Kerrville, Texas

Provider Information

NPI Number
1104271576
Entity Type
Organization
Organization Name
Laurence Robert Bower III
Subpart
Yes (part of a larger organization)
Parent Organization
LAURENCE ROBERT BOWER III
Primary Specialty
Clinic/Center - Radiology
Enumeration Date
May 4, 2016
Last Updated
Aug 23, 2018

Practice Location

Address
207B SIDNEY BAKER STREET S
State
Texas
ZIP Code
78028
Phone
(830) 496-3058

Authorized Official

Name
PAULA D DELEON
Title
ADMINISTRATOR
Phone
(830) 632-7562

Specialties & Taxonomy Codes

Specialty
Clinic/Center - RadiologyRadiology

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