Healthcare Provider Details

I. General information

NPI: 1780788166
Provider Name (Legal Business Name): STEPHEN F. OWEN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/07/2006
Last Update Date: 11/13/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2133 S 20TH ST
ABILENE TX
79605-6066
US

IV. Provider business mailing address

2133 S 20TH ST
ABILENE TX
79605-6066
US

V. Phone/Fax

Practice location:
  • Phone: 325-690-9200
  • Fax: 325-691-0845
Mailing address:
  • Phone: 325-690-9200
  • Fax: 325-691-0845

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number0036526
License Number StateTX

VIII. Authorized Official

Name: MR. STEPHEN FRANK OWEN
Title or Position: OWNER/DIRECTOR OF SERVICES
Credential: RPH
Phone: 325-690-9200