Organization
KEVIN J OWENS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN J OWENS (PRESIDENT)
(512) 446-4502
Entity
Organization
Contact information
Practice address
2401 FM 646 RD W, SUITE B, DICKINSON, TX 77539-3249
(512) 446-4502
(512) 446-0084
Mailing address
209 WATERSONG LN, GEORGETOWN, TX 78628-6954
(512) 446-4502
(512) 446-0084
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
Other
Enumeration date
04/27/2011
Last updated
04/27/2011
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