Individual
ANDREA OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
3455 STAGG DR, BEAUMONT, TX 77701-4521
(832) 548-5000
(682) 303-0076
Mailing address
PO BOX 66308, HOUSTON, TX 77266-6308
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
651733
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
168805307
—
TX
Enumeration date
10/17/2006
Last updated
07/12/2019
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