Individual
MR. AARON FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT
Contact information
Practice address
1401 FLANAGAN FARM DR, NORTHLAKE, TX 76226-1971
(903) 253-1673
Mailing address
1401 FLANAGAN FARM DR, NORTHLAKE, TX 76226-1971
(903) 253-1673
Taxonomy
Speciality
Code
Description
License number
State
207RS0010X
Sports Medicine (Internal Medicine) Physician
Primary
AT3007
TX
Other
Enumeration date
12/16/2018
Last updated
12/16/2018
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