Fowler, Grant C
Fowler, Grant C is an individual health care provider with primary practice located at 6410 Fannin St 250, Houston TX 77030-3000. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Fowler, Grant C can be contacted via phone (832) 325-6500.Contact Information
Primary practice address
6410 Fannin St 250
Houston TX 77030-3000
Phone: (832) 325-6500
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | G8111 | Texas |
Allopathic & Osteopathic Physicians / Geriatric Medicine | 207QG0300X | G8111 | Texas |
Allopathic & Osteopathic Physicians / Sports Medicine | 207RS0010X | G8111 | Texas |
Profile Details
NPI number | 1982639860 |
---|---|
LBN Legal business name | Fowler, Grant C |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 11th, 2006 |
Last updated | Aug 3rd, 2016 - about 8 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1982639860 | NPPES |
Texas | Other | 137012401 | CSHCN |
Texas | MEDICAID | 137012405 | CSHCN |
Texas | Other | 88Y812 | CSHCN |
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