Provider Demographics
NPI:1093254724
Name:FOWLER, INC
Entity Type:Organization
Organization Name:FOWLER, INC
Other - Org Name:SOLUTIONS CHIROPRACTIC AND REHABILITATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:TRAY
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:FOWLER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:214-632-9022
Mailing Address - Street 1:2501 ZOYSIA LN
Mailing Address - Street 2:
Mailing Address - City:CONWAY
Mailing Address - State:AR
Mailing Address - Zip Code:72034-8448
Mailing Address - Country:US
Mailing Address - Phone:214-632-9022
Mailing Address - Fax:
Practice Address - Street 1:29 N EXPRESS ST
Practice Address - Street 2:
Practice Address - City:PARIS
Practice Address - State:AR
Practice Address - Zip Code:72855-3207
Practice Address - Country:US
Practice Address - Phone:214-632-9022
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-14
Last Update Date:2019-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR16033111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty