Individual
GINA FOWLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
311 S FM 1187, 300, ALEDO, TX 76008
(817) 441-2266
(877) 293-3512
Mailing address
311 S FM 1187, 300, ALEDO, TX 76008-6449
(817) 441-2266
(877) 397-0469
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
M9285
TX
Other
Enumeration date
06/05/2008
Last updated
08/22/2018
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