Provider Demographics
NPI:1902510795
Name:HOWLING, MICHAEL GERALD (FNP)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:GERALD
Last Name:HOWLING
Suffix:
Gender:M
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3004 BRITTNEY LN
Mailing Address - Street 2:
Mailing Address - City:TEXARKANA
Mailing Address - State:TX
Mailing Address - Zip Code:75503-1567
Mailing Address - Country:US
Mailing Address - Phone:313-506-2481
Mailing Address - Fax:
Practice Address - Street 1:5035 W PARK BLVD
Practice Address - Street 2:
Practice Address - City:TEXARKANA
Practice Address - State:TX
Practice Address - Zip Code:75503-2594
Practice Address - Country:US
Practice Address - Phone:903-831-2665
Practice Address - Fax:870-330-0754
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-06
Last Update Date:2023-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1048004363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner