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Laurence Robert Bower Iii
Radiology Clinic/Center in Kerrville, Texas
NPI 1104271576

Laurence Robert Bower Iii is a Radiology Clinic/Center based in New Braunfels, TX and is specialized in Radiology. Laurence Robert Bower Iii practices in Kerrville, TX. The NPI Number for Laurence Robert Bower Iii is 1104271576 and holds a License No. (Texas).

The current practice location address for Laurence Robert Bower Iii is 207B Sidney Baker Street S, Kerrville, TX and can be reached out via phone at 830-496-3058 and via fax at 830-496-3034.

Location: 207B Sidney Baker Street S, Kerrville, TX, 78130-2484
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1104271576
Provider Name
Laurence Robert Bower Iii
Credential
Provider Entity Type
Organization
Address
207B Sidney Baker Street S, Kerrville, TX, 78130-2484
Phone Number
830-496-3058
Fax Number
830-496-3034
Provider Enumeration Date
05/04/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0971DC 01 TX BCBS
365018602 05 TX
institution
Provider Business Practice Location Address Details
Address
207B Sidney Baker Street S
City
Kerrville
State
Texas
Zip
78028
Phone Number
830-496-3058
Fax Number
830-496-3034
person
Provider Business Mailing Address Details
Address
207B Sidney Baker Street S
City
Kerrville
State
Texas
Zip
78028
Phone Number
830-496-3058
Fax Number
830-496-3034
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Radiology
Taxonomy
261QR0200X
License No.
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Definition
Definition to come...
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