Individual
ELIZABETH PAULK OWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
20818 GATHERING OAK STE 109, SAN ANTONIO, TX 78260-3104
(210) 762-6464
(210) 762-6465
Mailing address
46 VIENNA, SAN ANTONIO, TX 78258-4308
(850) 545-1810
(210) 762-6465
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
R3571
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002427800
—
FL
Enumeration date
05/30/2007
Last updated
07/21/2022
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