Healthcare Provider Details

I. General information

NPI: 1992065171
Provider Name (Legal Business Name): ROBERT PATRICK OWENS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2012
Last Update Date: 09/28/2021
Certification Date: 09/28/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2400 CANAL ST BLDG M
NEW ORLEANS LA
70119-6535
US

IV. Provider business mailing address

305 HOMEDALE ST
NEW ORLEANS LA
70124-1817
US

V. Phone/Fax

Practice location:
  • Phone: 504-507-2000
  • Fax:
Mailing address:
  • Phone: 985-285-0316
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberMD.206644
License Number StateLA
# 2
Primary TaxonomyY
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License NumberMD.206644
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: