Fowler, Sandra

Fowler, Sandra is an individual health care provider with primary practice located at 2929 Calder St Ste 100, Beaumont TX 77702-1841. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Fowler, Sandra can be contacted via phone (409) 833-9797.

Contact Information

Primary practice address
2929 Calder St Ste 100 Beaumont TX 77702-1841
Phone: (409) 833-9797
Fax: (409) 654-6830
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 531749 Texas
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP106955 Texas

Profile Details

NPI number 1023010337
LBN Legal business name Fowler, Sandra
Credentials MSN FNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2005
Last updated Sep 11th, 2018 - about 7 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 1023010337 NPPES
Texas MEDICAID 039579001

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