Organization
AUSTIN HEALTH WIRED, P.A.
Active
Other names
Austin Health Wired
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES BASIL OWEN II MD (DIRECTOR)
(512) 589-5965
Entity
Organization
Contact information
Practice address
3403 FOOTHILL PKWY, AUSTIN, TX 78731-5824
(512) 589-5965
Mailing address
500 W. 4TH STREET, SUITE 454, AUSTIN, TX 78701
(512) 589-5965
(512) 394-4694
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
04/30/2021
Last updated
04/24/2023
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