Individual
JENNIFER MICHELLE OWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5028 122ND ST, LUBBOCK, TX 79424-8398
(806) 749-7975
(806) 749-7937
Mailing address
5028 122ND ST, LUBBOCK, TX 79424-8398
(806) 749-7975
(806) 749-7937
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
L9837
TX
207VG0400X
Gynecology Physician
Primary
L9837
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
177003401
—
TX
Enumeration date
04/14/2006
Last updated
12/12/2024
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