Individual
DEIDRE LYNETTE OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21077 KINGSLAND BLVD, KATY, TX 77450-3252
(713) 679-0988
Mailing address
21077 KINGSLAND BLVD, KATY, TX 77450-3252
(713) 679-0988
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
TX
Other
Enumeration date
09/03/2025
Last updated
09/03/2025
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