Individual
DR. MALINI FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2632 BROADWAY ST STE 300, SAN ANTONIO, TX 78215-1137
(210) 802-0085
(210) 775-0082
Mailing address
8825 BEE CAVES RD STE 100, AUSTIN, TX 78746-4721
(512) 328-3376
(512) 666-3767
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
N7473
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
N7473
TEXAS MEDICAL LICENSE
TX
Enumeration date
06/10/2008
Last updated
05/15/2020
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