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Individual
DR. JORDAN MICHAEL OWENS
Active
Individual
DR. JORDAN MICHAEL OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R8450
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
388263102
—
TX
05
—
388263103
—
TX
01
—
693470
MEDICARE
TX
01
—
728055
MEDICARE
TX
01
—
8JX687
BCBS
TX
01
—
8KE616
BCBS
TX
01
—
BP20053157
TEXAS IN TRAINING PERMIT
TX
01
—
P02137083
MEDICARE RAIL ROAD
TX
Enumeration date
03/25/2013
Last updated
02/18/2019
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