Healthcare Provider Details

I. General information

NPI: 1326875642
Provider Name (Legal Business Name): OWIE SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/19/2024
Last Update Date: 09/19/2024
Certification Date: 09/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

207 SAILORS RUN
LAKEWAY TX
78734-4100
US

IV. Provider business mailing address

207 SAILORS RUN
LAKEWAY TX
78734-4100
US

V. Phone/Fax

Practice location:
  • Phone: 512-762-1601
  • Fax:
Mailing address:
  • Phone: 512-762-1601
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: BAILEY JAY JOHNSON-RAE
Title or Position: OWNER
Credential:
Phone: 512-762-1601