Healthcare Provider Details

I. General information

NPI: 1912858325
Provider Name (Legal Business Name): ADELINE BOWERS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/03/2026
Last Update Date: 10/10/2026
Certification Date: 10/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 E KNIGHTS WAY STE 105
HARKER HEIGHTS TX
76548-1833
US

IV. Provider business mailing address

2506 HANSON RD
KILLEEN TX
76543-5082
US

V. Phone/Fax

Practice location:
  • Phone: 254-441-5534
  • Fax:
Mailing address:
  • Phone: 512-923-7738
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: