Individual
DR. GRAVES T OWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7200 WYOMING SPGS, STE 400, ROUND ROCK, TX 78681-4304
(512) 310-7246
(512) 310-7667
Mailing address
7200 WYOMING SPRINGS RD SUITE 400, ROUND ROCK, TX 78681-4304
(512) 310-7246
(512) 310-7667
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
J0175
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050057463RR
RR MEDICARE
—
05
—
100192704
—
TX
01
—
144572XX
THCS
—
01
—
81Z160
BCBS
—
Enumeration date
07/08/2005
Last updated
07/22/2008
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