1730038159 NPI number — CENTAURI HEALTHCARE GROUP L.L.C.

Table of content: MRS. NATALIE CLARK GOWEN RN, BSN, CPN (NPI 1295276350)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1730038159 NPI number — CENTAURI HEALTHCARE GROUP L.L.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CENTAURI HEALTHCARE GROUP L.L.C.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1730038159
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/27/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5999 CUSTER RD STE 110-519
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
FRISCO
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
75035-9302
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
682-597-0672
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8535 WURZBACH RD STE 101
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SAN ANTONIO
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78240-1263
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
682-597-0672
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/27/2026

Additional Information

Authorized Official

Authorized Official Last Name:
PHAM-SMITH
Authorized Official First Name:
LILY
Authorized Official Middle Name:
Authorized Official Title or Position:
C.O.O
Authorized Official Telephone Number:
682-597-0672

Provider Taxonomy Codes

  • Taxonomy code: 3336L0003X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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