MEDICARE: MR. WILLIAM EUGENE OWENS JR. M.D.

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
1	208D00000X	General Practice Physician	C-5436	AR

General Provider Information

NPI Number	:	1902166218
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. WILLIAM EUGENE OWENS JR. M.D.

Provider Business Mailing Address
First Line	:	7104 SEQUOYAH LANE
Second Line	:
City	:	NORTH LITTLE ROCK
State	:	AR
Zip	:	72116-4332
Country	:	US
Telephone Number	:	501-834-0755
Fax Number	:

Provider Business Practice Location Address
First Line	:	7104 SEQUOYAH LANE
Second Line	:
City	:	NORTH LITTLE ROCK
State	:	AR
Zip	:	72116-4332
Country	:	US
Telephone Number	:	501-834-0755
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/21/2012
Last Update Date	:	03/07/2023

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