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NPI Code Detail

MEDICARE: GISELE OWENS LMSW

MEDICARE: GISELE OWENS LMSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator42478TX

General Provider Information

NPI Number : 1780978189
Entity Type Code : Individual
Provider Name (Legal Business Name) : GISELE OWENS LMSW
Provider Business Mailing Address
First Line : 8111 LBJ FWY STE 650
Second Line :
City : DALLAS
State : TX
Zip : 75251-1322
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8111 LBJ FWY STE 650
Second Line :
City : DALLAS
State : TX
Zip : 75251-1322
Country : US
Telephone Number : 469-484-4204
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2011
Last Update Date : 06/02/2011

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Directions to “ GISELE OWENS LMSW” Practice Location

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