Individual
CHANIN OWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2010 BEN MERRITT DR, SUITE A, DECATUR, TX 76234-3854
(940) 626-2300
(940) 626-2315
Mailing address
PO BOX 2078, DECATUR, TX 76234-6156
(940) 626-2300
(940) 626-2315
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP130078
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
356910501
—
TX
01
—
8239NW
BCBSTX
TX
Enumeration date
02/09/2016
Last updated
10/27/2017
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