Individual
BAILEY RENEE FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3100 AVENUE E, HONDO, TX 78861-3534
(830) 426-7700
Mailing address
PO BOX 114, HONDO, TX 78861-0114
(830) 741-0816
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1033905
TX
363L00000X
Nurse Practitioner
Primary
1033905
TX
Other
Enumeration date
06/12/2021
Last updated
03/10/2026
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