Organization Active NPI

Laurence Robert Bower III

Doing business as Central Texas Open MRI

  • Radiology Clinic/Center
  • New Braunfels, TX
National Provider Identifier
1841397502
Registry record updated Aug 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
LAURENCE ROBERT BOWER III
Doing business as
Central Texas Open MRI
Practice address
19A Gruene Park Drive
New Braunfels, TX 78130
Phone
(830) 606-1200
Fax
(830) 606-1276
NPI assigned
Sep 17, 2006
Last updated
Aug 23, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2018

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

Authorized official

Name
Paula Deleon
Title
Administrator
Phone
(830) 632-7562

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X TX 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

IdentifierTypeStateIssuer
0047RGOtherTXBLUECROSS BLUESHIELD
364400701MedicaidTX

Other names 1

  • CENTRAL TEXAS OPEN MRI Doing business as

National Provider Directory

National Provider Directory

Locations

128 W Bandera Rd
Ste 4
Boerne, TX 78006
Phone (830) 331-0610

19A Gruene Park Dr
#M
New Braunfels, TX 78130
Phone (830) 606-1200

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

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": "1158451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534982400000",
    "number": "1841397502",
    "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": "LAURENCE ROBERT BOWER III",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-17",
        "last_updated": "2018-08-23",
        "status": "A",
        "authorized_official_last_name": "DELEON",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "830-632-7562"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "0047RG",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "364400701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CENTRAL TEXAS OPEN MRI",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CENTRAL TEXAS OPEN MRI",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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.

Verify at the official NPI Registry.