# DICK OWENS MD LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891140968
- **Authorized official:** DICK OWENS (SOLE MEMBER)
- **Authorized official phone:** (205) 269-4616

## Contact information

- **Practice address:** 904 26TH ST, HALEYVILLE, AL 35565-1719
- **Practice address phone:** (205) 269-4616
- **Mailing address:** PO BOX 717, HALEYVILLE, AL 35565-0717

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/26/2016
- **Last updated:** 04/26/2016