Individual
DR. CHARLES B. OWEN II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3403 FOOTHILL PKWY, AUSTIN, TX 78731-5824
(512) 451-9606
(512) 451-7221
Mailing address
3403 FOOTHILL PKWY, AUSTIN, TX 78731-5824
(512) 451-9606
(512) 451-7221
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
F7017
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
137689914
—
TX
01
—
F7017
STATE MEDICAL LICENSE
TX
Enumeration date
05/16/2006
Last updated
04/10/2023
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