Healthcare Provider Details

I. General information

NPI: 1134173024
Provider Name (Legal Business Name): CURTIS L OWENS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/22/2006
Last Update Date: 12/10/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3960 KNIGHT ARNOLD RD SUITE 200
MEMPHIS TN
38118-3035
US

IV. Provider business mailing address

3960 KNIGHT ARNOLD RD SUITE 200
MEMPHIS TN
38118-3035
US

V. Phone/Fax

Practice location:
  • Phone: 901-369-6095
  • Fax: 901-369-6906
Mailing address:
  • Phone: 901-369-6095
  • Fax: 901-369-6906

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License NumberMD021067
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: