Fowler Sports Medicine and Health Promotion

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

H5707 Issued in TX

Legal business name

FOWLER SPORTS MEDICINE AND HEALTH PROMOTION

Doing business as

Fowler Sports Medicine

Practice address

2303 Ira E Woods Ave
Grapevine, TX 76051-3926

Phone

(817) 488-0885

Fax

(817) 424-1234

NPI assigned

Jan 11, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Robert Wesley Fowler, M.D.

Title

Owner

Phone

(817) 488-0885

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Fowler Sports Medicine Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1200009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200009600000",
    "number": "1184800955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2303 IRA E WOODS AVE",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760513926",
            "telephone_number": "817-488-0885",
            "fax_number": "817-424-1234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2303 IRA E WOODS AVE",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760513926",
            "telephone_number": "817-488-0885",
            "fax_number": "817-424-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOWLER SPORTS MEDICINE AND HEALTH PROMOTION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-11",
        "last_updated": "2008-01-11",
        "status": "A",
        "authorized_official_last_name": "FOWLER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "WESLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-488-0885",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "TX",
            "license": "H5707",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8G3940",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2903383006",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4490907",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8756B7",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fowler Sports Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Food Freedom Therapy, PLLC
• Foot and Ankle Associates of North Texas, LLP
• Ashlee Rene Ford, PT, DPT
• Meagan Kelley- McKennon Fosha, M.S. CCC-SLP
• Becky Christine Foster, RPH
• Robert Fowler, M.D.
• Foxhole Therapies LLC
• Eshelle Francis, LMSW, DOULA
• Carma Cassandra Frazier
• Susanne Marie Fred, LPC

• Exclusive Provider Organization in Grapevine, TX
• Providers in Grapevine, TX by specialty
• Exclusive Provider Organization in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.