Individual
OWEN B. TABOR SR.
Active
Individual
OWEN B. TABOR SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
6996
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000207490 08
UNITED HEALTHCARE
TN
05
—
07187860
—
MS
05
—
120469
—
MS
05
—
3179854
—
TN
05
—
3371161
—
TN
01
—
4039349
AETNA
TN
01
—
4179726
BCBS
TN
01
—
4442032
CIGNA
TN
01
—
620819926
CIGNA
TN
01
—
P00624370
RAILROAD MEDICARE
TN
Enumeration date
02/22/2006
Last updated
03/27/2015
Update your record
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