Individual
WENDY RENEE FOWLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LM, CPM
Contact information
Practice address
539 ECHO RD, SUNSET, TX 76270-2505
(940) 366-5982
Mailing address
539 ECHO RD, SUNSET, TX 76270-2505
(940) 366-5982
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
99407
TX
Other
Enumeration date
03/29/2012
Last updated
08/25/2020
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