Provider Demographics
NPI:1225701519
Name:HROMAS, FOWLER DEE
Entity Type:Individual
Prefix:
First Name:FOWLER
Middle Name:DEE
Last Name:HROMAS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 N PERKINS RD APT P11
Mailing Address - Street 2:
Mailing Address - City:STILLWATER
Mailing Address - State:OK
Mailing Address - Zip Code:74075-7155
Mailing Address - Country:US
Mailing Address - Phone:580-304-9089
Mailing Address - Fax:
Practice Address - Street 1:1200 N PERKINS RD APT P11
Practice Address - Street 2:
Practice Address - City:STILLWATER
Practice Address - State:OK
Practice Address - Zip Code:74075-7155
Practice Address - Country:US
Practice Address - Phone:580-304-9089
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-01
Last Update Date:2021-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator