Tondala Fowler, cams,B.S.
Contractor in Frisco, TX. Individual provider (NPI-1).
NPI number1457885808
StatusActive
Last updated in NPPESApr 12, 2017
Details
- NPI
- 1457885808
- Entity type
- Individual (NPI-1)
- Name
- Tondala Fowler
- Credential
- cams,B.S.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 12, 2017
- Last updated
- Apr 12, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171W00000X | Contractor | 14692890 | TX | Yes |
Practice location
8811 Teel Parkway , Tlc Enterprise,llcSuite 100-5222
Frisco, TX 75035
Phone 214-577-8664 · Fax 214-305-6911
Mailing address
8811 Teel Parkway , Tlc Enterprise,llcSuite 100-5222
Frisco, TX 75035
Phone 214-577-8664 · Fax 214-305-6911
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