Organization
TBOWENS LLC
Active
Other names
Vestram Men's Health, Vestram Weight Loss, Vestram Health
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TRACE BLAINE OWENS FNP (PRESIDENT)
(512) 810-6719
Entity
Organization
Contact information
Practice address
539 W COMMERCE ST # 206, DALLAS, TX 75208-1953
(512) 810-6719
(512) 379-0258
Mailing address
539 W COMMERCE ST, #206, DALLAS, TX 75208
(512) 810-6719
(512) 379-0258
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
11/01/2022
Last updated
11/16/2022
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