Individual
MARK FREDERICK OWENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3551 ROGER BROOKE DR, SAN ANTONIO, TX 78234-4504
(210) 424-8977
Mailing address
116 PIN OAK FOREST ST, SAN ANTONIO, TX 78232-2002
(210) 445-9971
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD060926L
PA
2084P0804X
Child & Adolescent Psychiatry Physician
MD060926L
PA
Other
Enumeration date
07/20/2006
Last updated
04/25/2023
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