Individual
JIMIE DIANNE OWSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
810 MORGAN AVE APT 1, CORPUS CHRISTI, TX 78404-2058
(361) 887-9928
(361) 887-9947
Mailing address
PO BOX 1876, CORPUS CHRISTI, TX 78403-1876
(361) 887-9928
(361) 887-9947
Taxonomy
Speciality
Code
Description
License number
State
2086S0127X
Trauma Surgery Physician
Primary
M3053
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
181667002
—
TX
01
—
M3053
LICENSE
TX
Enumeration date
06/25/2006
Last updated
03/10/2017
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