Active NPI
Bower Central Texas Imaging Limited
- Radiology Clinic/Center
- New Braunfels, TX
National Provider Identifier
1114024841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiology Clinic/Center
- Legal business name
- BOWER CENTRAL TEXAS IMAGING LIMITED
- Practice address
- 19A Gruene Park Drive
New Braunfels, TX 78130 - Phone
- (830) 606-1200
- Fax
- (830) 606-1276
- NPI assigned
- Sep 16, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Paula D Deleon
- Title
- Administrator
- Phone
- (830) 632-7562
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiology Clinic/Center | 261QR0200X | Primary |
Addresses
Primary practice location
19A Gruene Park Drive
New Braunfels, TX 78130
Mailing address
19A Gruene Park Dr
New Braunfels, TX 78130-2484
Phone (830) 632-7562
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 175690001 | Medicaid | TX | |
| 0398DC | Other | TX | BCBS |
Other names 1
- Central Texas Imaging
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158364800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1534982400000",
"number": "1114024841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19A GRUENE PARK DR",
"city": "NEW BRAUNFELS",
"state": "TX",
"postal_code": "781302484",
"telephone_number": "830-632-7562",
"fax_number": "830-632-6793"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19A GRUENE PARK DRIVE",
"city": "NEW BRAUNFELS",
"state": "TX",
"postal_code": "78130",
"telephone_number": "830-606-1200",
"fax_number": "830-606-1276"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BOWER CENTRAL TEXAS IMAGING LIMITED",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-16",
"last_updated": "2018-08-23",
"status": "A",
"authorized_official_last_name": "DELEON",
"authorized_official_first_name": "PAULA",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "830-632-7562"
},
"taxonomies": [
{
"code": "261QR0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "175690001",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0398DC",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Central Texas Imaging",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Central Texas Imaging",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in New Braunfels, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.