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SOUTHLAKE DERMATOLOGY
NPI 1942233895
Specialist in Southlake, TX

Active since July 07, 2006
1170 N CARROLL AVE, SOUTHLAKE, TX 76092(817) 251-6500(817) 442-0550 Get Directions Write a Review

NPPES record last updated: April 6, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Southlake Dermatology NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHLAKE DERMATOLOGY (NPI 1942233895) is a healthcare organization registered as a specialist in Southlake, Texas and active in the NPI registry since July 2006. The organization lists Angela G Bowers, President, as its authorized official.

NPPES Registry Identity

NPI1942233895
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameANGELA G BOWERS, MD PA
Location Address1170 N CARROLL AVESouthlake, TX 76092
Mailing Address1170 N Carroll AveSouthlake, TX 76092 · (817) 251-6500 · Fax (817) 442-0550
Phone(817) 251-6500
Fax(817) 442-0550
Organization SubpartNo
Authorized OfficialAngela G BowersPresident · (817) 251-6500
Enumeration DateJuly 7, 2006
Last NPPES UpdateApril 6, 2011
✔ NPI 1942233895 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in TX · K0476
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1170 N CARROLL AVE, Southlake, TX 76092
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Other Names 1

Other NameSouthlake Dermatology

Other Identifiers 2

Medicare ID-Type Unspecified00748RTX
Medicare UPING38715TX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SARA HELDT GREER M.D.
Dermatology
1170 N CARROLL AVE
SOUTHLAKE, TX 76092
Tarrant County (817) 251-6500
DR. ATOOSA KOUROSH MD
Pediatrics (Pediatric Allergy/Immunology)
1170 N CARROLL AVE
SOUTHLAKE, TX 76092
Tarrant County (214) 702-6550
MICHELE CELESTE MCKEAN MS, APRN, FNP-C
Nurse Practitioner (Family)
1170 N CARROLL AVE
SOUTHLAKE, TX 76092
Tarrant County (817) 329-6263
ABIGAIL GRACE JOHN APRN, FNP-BC, NP-C
Nurse Practitioner (Family)
1170 N CARROLL AVE
SOUTHLAKE, TX 76092
Tarrant County (817) 329-6263
DR. ANTHONY S RECTOR D.O.
Family Medicine
1170 N CARROLL AVE
SOUTHLAKE, TX 76092
Tarrant County (817) 329-6263

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Angela G Bowers, MD PA's NPI number?

The NPI number for Angela G Bowers, MD PA is 1942233895. It was assigned to this organization in the NPPES registry on July 7, 2006. The provider is also known as Southlake Dermatology.

Where is Angela G Bowers, MD PA located?

Angela G Bowers, MD PA is located at 1170 N Carroll Ave, Southlake, TX 76092. The listed phone number is (817) 251-6500.

What is Angela G Bowers, MD PA's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Angela G Bowers, MD PA was last updated on April 6, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.