Provider Demographics
NPI:1518530567
Name:FOWLER, AUSTEN (PA-C)
Entity Type:Individual
Prefix:
First Name:AUSTEN
Middle Name:
Last Name:FOWLER
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Gender:M
Credentials:PA-C
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Mailing Address - Street 1:3106 S W S YOUNG DR STE B-202
Mailing Address - Street 2:
Mailing Address - City:KILLEEN
Mailing Address - State:TX
Mailing Address - Zip Code:76542-2000
Mailing Address - Country:US
Mailing Address - Phone:866-592-5888
Mailing Address - Fax:254-554-2018
Practice Address - Street 1:3106 S W S YOUNG DR STE B-202
Practice Address - Street 2:
Practice Address - City:KILLEEN
Practice Address - State:TX
Practice Address - Zip Code:76542-2000
Practice Address - Country:US
Practice Address - Phone:866-592-5888
Practice Address - Fax:254-554-2018
Is Sole Proprietor?:No
Enumeration Date:2021-07-19
Last Update Date:2022-10-18
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant