| Laurence R Bower Iii Md | |
|
128 W Bandera Road #4 Boerne TX 78006 | |
| (830) 331-0610 | |
| (830) 331-1042 |
| Full Name | Laurence R Bower Iii Md |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 128 W Bandera Road #4, Boerne, Texas |
| Authorized Official Name and Position | Laurence R Bower (OWNER) |
| Authorized Official Contact | 8303310125 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Laurence R Bower Iii Md 19a Gruene Park Drive New Braunfels TX 78130-2459 Ph: (830) 632-7562 | Laurence R Bower Iii Md 128 W Bandera Road #4 Boerne TX 78006 Ph: (830) 331-0610 |
| NPI Number | 1619390622 |
|---|---|
| Provider Enumeration Date | 01/27/2014 |
| Last Update Date | 08/23/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619390622 | NPI | - | NPPES |
| 1659478303 | Other | INDIVIDUAL NPI | |
| 8EE312 | Other | TX | BCBS |
| 157938501 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | J8926 (Texas) | Primary |
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