Individual
KATIE FOWLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN,CNP-C
Contact information
Practice address
11801 SOUTH FWY STE 140, BURLESON, TX 76028-7021
(817) 551-6161
Mailing address
12401 MESSER CT, FORT WORTH, TX 76126-6390
(817) 223-4858
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1153064
TX
Other
Enumeration date
03/04/2024
Last updated
03/04/2024
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