Individual
MICHAEL FRED OWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2102 OXFORD AVE, STE C, LUBBOCK, TX 79410
(806) 795-9876
Mailing address
3420 22ND PLACE, LUBBOCK, TX 79410
(806) 725-7800
(806) 723-6532
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
E8786
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
099704103
—
TX
Enumeration date
04/18/2006
Last updated
10/26/2011
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