| NPI | 1184800955 |
|---|---|
| Doing Business As | FOWLER SPORTS MEDICINE |
| Entity Type | Organization |
| Authorized Contact | ROBERT WESLEY FOWLER Owner 817-488-0885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: TX H5707) |
| Enumeration Date | 2008-01-11 |
| Last Update Date | 2008-01-11 |