Individual
RYAN CHRISTOPHER OWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3612 23RD ST, LUBBOCK, TX 79410
(806) 793-8787
(806) 793-0150
Mailing address
2215 NASHVILLE AVE, LUBBOCK, TX 79410-1105
(806) 725-5844
(806) 723-6532
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
R7843
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
678734
MEDICARE
TX
01
—
8JR661
BCBS
TX
05
—
91137870
—
NM
Enumeration date
06/21/2012
Last updated
08/24/2018
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