Organization
AUSTIN HEALTH WIRED, P.A.
Active
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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