Healthcare Provider Details

I. General information

NPI: 1659377604
Provider Name (Legal Business Name): ELIZABETH SANCHEZ FOWLER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/23/2005
Last Update Date: 02/05/2025
Certification Date: 02/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

455 SCHOOL ST STE 26
TOMBALL TX
77375-4597
US

IV. Provider business mailing address

455 SCHOOL ST STE 26
TOMBALL TX
77375-4597
US

V. Phone/Fax

Practice location:
  • Phone: 281-374-9700
  • Fax: 281-370-8765
Mailing address:
  • Phone: 281-374-9700
  • Fax: 281-370-8765

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberL8340
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: