Organization Active NPI

Laurence Robert Bower III

  • Radiology Clinic/Center
  • Marble Falls, TX
National Provider Identifier
1851835458
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
Practice address
2511 US Highway 281
Ste 300
Marble Falls, TX 78654
Phone
(830) 693-1400
Fax
(830) 693-1444
NPI assigned
Dec 15, 2016
Organization subpart
Yes
Parent organization
LAURENCE ROBERT BOWER IIIAs reported in NPPES

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 D Deleon
Title
Administrator
Phone
(830) 632-7562

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X Primary
Physiological Laboratory 293D00000X

Addresses

Primary practice location

2511 US Highway 281
Ste 300
Marble Falls, TX 78654

Mailing address

19A Gruene Park Drive
New Braunfels, TX 78130-2484
Phone (830) 632-7562

Other identifiers 2

IdentifierTypeStateIssuer
0660DCOtherTXBCBS
373097001MedicaidTX

Other names 1

  • MRI Now - Marble Falls Doing business as

National Provider Directory

National Provider Directory
Part of
Bob Bower MD PA

Locations

2511 N US Highway 281
Ste 300
Marble Falls, TX 78654
Phone (830) 693-1400

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1481760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534982400000",
    "number": "1851835458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19A GRUENE PARK DRIVE",
            "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": "2511 US HIGHWAY 281",
            "address_2": "STE 300",
            "city": "MARBLE FALLS",
            "state": "TX",
            "postal_code": "78654",
            "telephone_number": "830-693-1400",
            "fax_number": "830-693-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURENCE ROBERT BOWER III",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LAURENCE ROBERT BOWER III",
        "enumeration_date": "2016-12-15",
        "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
        },
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0660DC",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "373097001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MRI Now - Marble Falls",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marble Falls, 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.