NPIMap

Organization Active NPI

Heather L Bowles

Doing business as Physicians at Home

  • General Practice Physician
  • Larue, TX
National Provider Identifier
1114151974
Registry record updated Mar 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
HEATHER L BOWLES
Doing business as
Physicians at Home
Practice address
4390 Pine Crest Dr
Larue, TX 75770-4758
Phone
(800) 478-7902
Fax
(800) 517-3583
NPI assigned
May 8, 2009
Last updated
Mar 16, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Heather L Bowles
Title
Owner/Ceo
Phone
(800) 478-7902

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X Primary

Addresses

Primary practice location

4390 Pine Crest Dr
Larue, TX 75770-4758

Mailing address

4390 Pine Crest Dr
Larue, TX 75770-4758
Phone (800) 478-7902

Other identifiers 1

IdentifierTypeStateIssuer
204751601MedicaidTX

Other names 1

  • Physicians at Home Doing business as

National Provider Directory

National Provider Directory

Locations

1530 Ssw Loop 323
Ste 123
Tyler, TX 75701
Phone (800) 478-7902

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1241740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331856000000",
    "number": "1114151974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4390 PINE CREST DR",
            "city": "LARUE",
            "state": "TX",
            "postal_code": "757704758",
            "telephone_number": "800-478-7902",
            "fax_number": "800-517-3583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4390 PINE CREST DR",
            "city": "LARUE",
            "state": "TX",
            "postal_code": "757704758",
            "telephone_number": "800-478-7902",
            "fax_number": "800-517-3583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEATHER L BOWLES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-08",
        "last_updated": "2012-03-16",
        "status": "A",
        "authorized_official_last_name": "BOWLES",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "800-478-7902",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "204751601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Physicians at Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Larue, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.