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Individual
MR. TYSON JOHN OWEN
Active
Individual
MR. TYSON JOHN OWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1195478
TX
Other
Enumeration date
08/19/2024
Last updated
09/02/2025
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