Provider Demographics
NPI:1619616505
Name:ALLERGY AND ASTHMA OF PROSPER AND CELINA PLLC
Entity Type:Organization
Organization Name:ALLERGY AND ASTHMA OF PROSPER AND CELINA PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:M
Authorized Official - Last Name:FOWLER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:469-757-2468
Mailing Address - Street 1:1640 W FRONTIER PARKWAY
Mailing Address - Street 2:SUITE 400
Mailing Address - City:PROSPER
Mailing Address - State:TX
Mailing Address - Zip Code:75078
Mailing Address - Country:US
Mailing Address - Phone:469-757-2468
Mailing Address - Fax:785-414-5368
Practice Address - Street 1:1640 W FRONTIER PARKWAY
Practice Address - Street 2:SUITE 400
Practice Address - City:PROSPER
Practice Address - State:TX
Practice Address - Zip Code:75078
Practice Address - Country:US
Practice Address - Phone:469-757-2468
Practice Address - Fax:785-414-5368
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-31
Last Update Date:2022-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty