Individual
JODI OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1700 RR 620 S, SUITE B, LAKEWAY, TX 78734-6245
(512) 263-9111
(512) 263-3122
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-8800
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA02553
TX
Other
Enumeration date
10/23/2012
Last updated
05/12/2023
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