Allergy and Asthma of Prosper and Celina PLLC
Organization Active NPI Allergy & Immunology Physician · Prosper, TX
NPI 1619616505 · NPPES record last updated Jul 14, 2026
Key facts
- NPI
- 1619616505
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Allergy & Immunology Physician 207K00000X
- Legal business name
- ALLERGY AND ASTHMA OF PROSPER AND CELINA PLLC
- Practice address
- 1640 W Frontier Parkway
Suite 400
Prosper, TX 75078 - Phone
- (469) 757-2468
- Fax
- (785) 414-5368
- NPI assigned
- May 31, 2022
- Organization subpart
- No
Authorized official
- Name
- Dr. Thomas Moyle Fowler, MD
- Title
- Officer
- Phone
- (469) 757-2468
Practitioners 2
-
Thomas Fowler, M.D.
-
Andrew Smejdir, PA
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20221208002953 | TX | Part B Supplier - Clinic/Group Practice | 6709255052 |
Receives reassigned benefits from 2 practitioners Practice locations: Anna, TX; Prosper, TX |
National Provider Directory
Locations
450 N Standridge Blvd
Ste 206
Anna, TX 75409
Phone (469) 425-5028
1640 W Frontier Pkwy
Ste 130
Prosper, TX 75078
Phone (469) 757-2468
1640 W Frontier Pkwy
Ste 400
Prosper, TX 75078
Phone (469) 757-2468
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician |
207K00000X | Yes | ||
| Internal Medicine Physician |
207R00000X |
Addresses
Primary practice location
1640 W Frontier Parkway
Suite 400
Prosper, TX 75078
Mailing address
1640 W Frontier Pkwy Ste 130
Prosper, TX 75078-3197
Phone (469) 757-2468
Other practice location 1
450 N Standridge Blvd Ste 206
Anna, TX 75409-3443
Phone (469) 425-5028
Other providers in Prosper, TX
- Lila Albahra
- Alana Mackenzie Aldridge
- Hana Alkhafaf
- April Karena Allen
- Tahnae T Allen
- Riyam Dhahir Alley
- Ally Psychological Health PLLC
- Nicole Altice
- Rosa Alvarez
- Mouhammad Rateb Alwazeer
All providers in Prosper, TX · Allergy & Immunology Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 14, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.