Owen, Graves T

Owen, Graves T is an individual health care provider with primary practice located at 7200 Wyoming Spgs Ste 400, Round Rock TX 78681-4304. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Pain Medicine, which is considered as his primary health care specialty. Owen, Graves T can be contacted via phone (512) 310-7246.

Contact Information

Primary practice address
7200 Wyoming Spgs Ste 400 Round Rock TX 78681-4304
Fax: (512) 310-7667
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X J0175 Texas

Profile Details

NPI number 1649278201
LBN Legal business name Owen, Graves T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2005
Last updated Jul 22nd, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649278201 NPPES
Other 050057463RR RR MEDICARE
MEDICAID 100192704 RR MEDICARE
Other 81Z160 RR MEDICARE
Other 144572XX RR MEDICARE

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