Individual
JEREMY FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-S
Contact information
Practice address
18511 HIGHLANDER MEDICS ST, FORT BLISS, TX 79906-5327
(915) 742-2273
Mailing address
4649 LOMA DEL SUR DR, EL PASO, TX 79934-3350
(817) 219-5678
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
01/14/2025
Last updated
02/26/2025
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