Basic Information
Provider Information
NPI: 1518193408
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: OWENS
FirstName: RICHARD
MiddleName: ALEXANDER
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1140 BUSINESS CENTER DR STE 201
Address2:  
City: HOUSTON
State: TX
PostalCode: 770432744
CountryCode: US
TelephoneNumber: 7139325757
FaxNumber: 7139325750
Practice Location
Address1: 921 GESSNER RD
Address2:  
City: HOUSTON
State: TX
PostalCode: 770242501
CountryCode: US
TelephoneNumber: 7132423000
FaxNumber: 7347639298
Other Information
ProviderEnumerationDate: 06/05/2009
LastUpdateDate: 07/29/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
390200000X MIN Student, Health CareStudent in an Organized Health Care Education/Training Program 
207P00000XP6234TXY Allopathic & Osteopathic PhysiciansEmergency Medicine 

No ID Information.


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