Healthcare Provider Details

I. General information

NPI: 1972720548
Provider Name (Legal Business Name): SHARON GAIL FOWLER FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/18/2007
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

809 W HARWOOD RD STE 202
HURST TX
76054-6233
US

IV. Provider business mailing address

111 MOUNTAIN VIEW DR
BEDFORD TX
76021-4172
US

V. Phone/Fax

Practice location:
  • Phone: 972-230-5601
  • Fax:
Mailing address:
  • Phone: 817-656-4116
  • Fax: 817-656-1707

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number425580
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: