Most Relevant Information
Provider Data
| NPI Number: | 1003393182 |
| Provider Name: | DONALD FOWLER |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: | 2120176 |
Most Important Dates
| Enumeration Date: | 07/23/2018 |
| Last Updated: | 07/23/2018 |
Provider Practice Location
2125 S 61ST ST
TEMPLE
TX
765046823
Practice Location Phone/Fax
| Phone: | 2547749991 |
| Fax: | 8663406725 |
Provider Mailing Location
305 NE LOOP 820
BUSINESS TOWER 1, SUITE 200
HURST
TX
76053
Provider Mailing Phone/Fax
| Phone: | 8172927878 |
| Fax: | 8277896849 |