Alfred Harris Fowler III, DDS
Dentist, General Practice in Longview, TX. Individual provider (NPI-1).
NPI number1124158092
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1124158092
- Entity type
- Individual (NPI-1)
- Name
- Alfred Harris Fowler III
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 7, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 14501 | TX | Yes |
Practice location
444 Forest SquareSuite D
Longview, TX 75605-4463
Phone 903-236-8538 · Fax 903-236-8539
Mailing address
444 Forest SquareSuite D
Longview, TX 75605-4463
Phone 903-236-8538 · Fax 903-236-8539
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