Fowler, Roger N

Fowler, Roger N is an individual health care provider with primary practice located at 3202 S Main St , Lindale TX 75771-7727. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Fowler, Roger N can be contacted via phone (903) 882-0991.

Contact Information

Primary practice address
3202 S Main St Lindale TX 75771-7727
Phone: (903) 882-0991
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X G1009 Texas

Profile Details

NPI number 1144294570
LBN Legal business name Fowler, Roger N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2006
Last updated Apr 3rd, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144294570 NPPES
Texas MEDICAID 136252713
Texas Other 752616977028
Texas MEDICAID 136252712
Texas MEDICAID 138737515
Texas Other 8S3318
Texas MEDICAID 136252704
Texas Other 75-2616977-066

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