Individual
BRUCE ALLEN OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4642 N LOOP 289, STE 215, LUBBOCK, TX 79416-2409
(806) 721-2161
Mailing address
4802 N LOOP 289, LUBBOCK, TX 79416-3025
(806) 788-0040
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2010024532
MO
207R00000X
Internal Medicine Physician
K4518
TX
208M00000X
Hospitalist Physician
Primary
2010024532
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1487605259
—
IA
05
—
1487605259
—
MO
05
—
201126820A
—
KS
05
—
41392
—
NM
01
—
P01628484
MEDICARE RAILROAD
MO
Enumeration date
05/15/2006
Last updated
11/18/2025
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