Individual provider · Type 1 NPI

Zackery Logan Gene Fowler, DO

Emergency Medicine Physician · Dallas, TX

NPI number 1194395863 Active

Practice location

5200 Harry Hines Blvd
Dallas, TX 75235-7709

Mailing address

5619 Belmont Ave Apt 2226
Dallas, TX 75206-6782

Specialties and licenses

TaxonomyCodeLicense
Emergency Medicine Physician Primary 207P00000XV5265 (TX)
Emergency Medicine Physician 207P00000X7669 (OK)
Medical Toxicology (Emergency Medicine) Physician 207PT0002XV5265 (TX)
Emergency Medicine Physician 207P00000X0475R (OK)

Emergency Medicine Physician: An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in respo…

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About NPI 1194395863

Zackery Logan Gene Fowler, DO's National Provider Identifier is 1194395863, issued on Jun 25, 2021. The primary taxonomy on file is Emergency Medicine Physician (207P00000X), and the practice location is in Dallas, TX. The record was last updated on Mar 12, 2026.