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Individual

MICHELE M. FOWLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
23900 KATY FWY, KATY, TX 77494-1323
(281) 644-7000
Mailing address
PO BOX 269024, OKLAHOMA CITY, OK 73126-9024
(866) 321-8433

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
P2443
TX
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
3752
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100126560C
OK
05
301350007
TX
Enumeration date
09/22/2005
Last updated
10/01/2019
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