Organization
OWEN CLINIC, P. C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDMOND W. OWEN JR. M.D. (OWNER PRESIDENT)
(901) 383-8232
Entity
Organization
Contact information
Practice address
3980 NEW COVINGTON PIKE, SUITE 101, MEMPHIS, TN 38128-2500
(901) 383-8232
(901) 383-8277
Mailing address
3980 NEW COVINGTON PIKE, SUITE 101, MEMPHIS, TN 38128-2500
(901) 383-8232
(901) 383-8277
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
MD17915
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3723720
—
TN
01
—
4077526
BC/BS
TN
Enumeration date
11/22/2005
Last updated
08/22/2020
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