| Allergy And Asthma Of Prosper And Celina Pllc | |
|
1640 W Frontier Parkway Suite 400 Prosper TX 75078 | |
| (469) 757-2468 | |
| (785) 414-5368 |
| Full Name | Allergy And Asthma Of Prosper And Celina Pllc |
|---|---|
| Speciality | Allergy & Immunology |
| Location | 1640 W Frontier Parkway, Prosper, Texas |
| Authorized Official Name and Position | Thomas M Fowler (MD/OWNER) |
| Authorized Official Contact | 4697572468 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Allergy And Asthma Of Prosper And Celina Pllc 1640 W Frontier Pkwy Ste 130 Prosper TX 75078-3197 Ph: (469) 757-2468 | Allergy And Asthma Of Prosper And Celina Pllc 1640 W Frontier Parkway Suite 400 Prosper TX 75078 Ph: (469) 757-2468 |
| NPI Number | 1619616505 |
|---|---|
| Provider Enumeration Date | 05/31/2022 |
| Last Update Date | 07/09/2025 |
| Medicare PECOS PAC ID | 6709255052 |
|---|---|
| Medicare Enrollment ID | O20221208002953 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619616505 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207K00000X | Allergy & Immunology | (* (Not Available)) | Primary |
| Provider Name | Thomas Fowler |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1861948176 PECOS PAC ID: 1355607003 Enrollment ID: I20211006003545 |
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