Individual
DR. ROBERT FOWLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2303 IRA E WOODS AVE, GRAPEVINE, TX 76051-3926
(817) 488-0885
(817) 424-1234
Mailing address
2303 IRA E WOODS AVE, GRAPEVINE, TX 76051-3926
(817) 488-0885
(817) 424-1234
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
H5707
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3223361
BLUE LINK
TX
01
—
8G3940
BCBS PROVIDER NUMBER
TX
Enumeration date
11/15/2006
Last updated
12/12/2007
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