Individual
DR. KENNETH RAY VANOWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4141 VISTA RD, PASADENA, TX 77504-2113
(713) 947-3100
Mailing address
4141 VISTA RD, PASADENA, TX 77504-2113
(713) 947-3100
(713) 947-6103
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
01058864A
IN
2084N0400X
Neurology Physician
04-34475
KS
2084N0400X
Neurology Physician
2007007216
MO
2084N0400X
Neurology Physician
Primary
T0028
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200533040A
—
KS
05
—
207435009
—
MO
01
—
P00427020
MEDICARE RR PIN
—
Enumeration date
02/24/2007
Last updated
09/25/2024
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