NPIMap

Organization Active NPI

Angela G Bowers, MD PA

  • Specialist
  • Southlake, TX
National Provider Identifier
1942233895
Registry record updated Apr 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
K0476 Issued in TX
Legal business name
ANGELA G BOWERS, MD PA
Practice address
1170 N Carroll Ave
Southlake, TX 76092
Phone
(817) 251-6500
Fax
(817) 442-0550
NPI assigned
Jul 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2011

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

Authorized official

Name
Dr. Angela G Bowers, MD PA
Title
President
Phone
(817) 251-6500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X K0476 TX Primary

Addresses

Primary practice location

1170 N Carroll Ave
Southlake, TX 76092

Mailing address

1170 N Carroll Ave
Southlake, TX 76092
Phone (817) 251-6500

Other names 1

  • Southlake Dermatology Other name

National Provider Directory

National Provider Directory

Locations

5924 Royal Ln
Ste 104B
Dallas, TX 75230

431 E State Highway 114
Ste 300
Southlake, TX 76092
Phone (817) 251-6500

1170 N Carroll Ave
Southlake, TX 76092
Phone (817) 251-6500

Practitioners & affiliated clinicians

Practitioners 10

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": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302048000000",
    "number": "1942233895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1170 N CARROLL AVE",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "76092",
            "telephone_number": "817-251-6500",
            "fax_number": "817-442-0550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1170 N CARROLL AVE",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "76092",
            "telephone_number": "817-251-6500",
            "fax_number": "817-442-0550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELA G BOWERS, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2011-04-06",
        "status": "A",
        "authorized_official_last_name": "BOWERS",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-251-6500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD PA"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "K0476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southlake Dermatology",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Southlake, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2011; 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.