Individual
MRS. ALICIA FAYE FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
505 LIPSCOMB ST, BONHAM, TX 75418-4027
(903) 640-4809
(903) 640-4950
Mailing address
505 LIPSCOMB ST, BONHAM, TX 75418-4027
(903) 640-4809
(903) 640-4950
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
04822
TX
Other
Enumeration date
06/05/2007
Last updated
07/21/2022
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