Individual
DR. LITTLETON AUGUSTUS FOWLER SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
4224 TEXAS BLVD, TEXARKANA, TX 75503-3013
(903) 794-3711
(903) 794-3713
Mailing address
4224 TEXAS BLVD, TEXARKANA, TX 75503-3013
(903) 794-3711
(903) 794-3713
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1849TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1457311607
NPI
TX
01
—
82037
AR BCBS
TX
Enumeration date
03/23/2006
Last updated
09/03/2008
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